Minimally Invasive Corneal Neurotization for Neurotrophic Keratopathy

Steinemann, Alexandra; Preiser, Dunja; Eggenschwiler, Laura; Gohritz, Andreas; Décard, Bernhard F.; Kappos, Elisabeth A.; Goldblum, David

doi:10.1055/a-1407-9228

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Corneal Neurotization—surgical Techniques1

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2023

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“…Once the nerve fascicles are brought to the cornea, they can be fixated to the limbus in several ways. Some groups use fibrin glue and others simply suture the nerve fascicles to the limbus, while others leave them free in the sub-Tenon’s space ( Figure 6 B) [ 27 , 36 , 38 , 39 , 40 , 41 , 43 , 44 , 45 , 47 , 49 , 51 , 54 , 56 , 65 , 66 , 67 , 68 ]. Subsequent reports have adapted the technique by introducing a novel way of securing the peripheral fascicles into corneoscleral tunnel incisions.…”

Section: Corneal Neurotization—surgical Techniquesmentioning

confidence: 99%

Corneal Neurotization—Indications, Surgical Techniques and Outcomes

Dragnea

Krolo

Koppen

et al. 2023

JCM

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Corneal neurotization is a promising surgical approach for the treatment of moderate to severe neurotrophic keratopathy. This technique aims to restore corneal sensation by transferring healthy nerves, either directly or via a conduit, to the anesthetic cornea. This review provides a report on the current state of development, evidence, and experience in the field. We summarize the data available from clinical reports and case series, placing an emphasis on the diversity of the surgical techniques reported. While these data are encouraging, they also highlight the need for a consensus in reporting outcomes and highlight how the next step will involve validating putative outcome parameters when researching and reporting corneal neurotization surgery.

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