Dr. SAMYA MUJEEB

DR. SAPTAGIRISH RAMBHATLA, Dr.Shruthi Tara

Abstract

Purpose: To report our practices and outcomes in treatment of neurotrophic keratitis through corneal neurotization using sural nerve grafts in child and adult population.Methods: brief review of 10 cases of corneal neurotization as a treatment modality for neurotrophic keratopathy of various causes ,the surgery was performed using direct approach and followed up till 18-24 months postoperatively. The corneal sensations and improvement in ocular surface were thoroughly followed up and noted.Results: the surgical outcomes of SCN were commendatory and beneficial, with negligible complications. Corneal sensation recovery after SCN took almost 3–6 months, while nerve regeneration on confocal microscopy that was monitored in few cases can take as long as 6 months–1 year.Conclusion: Corneal neurotization is a new stimulating procedure with variable yet satisfactory outcomes in the treatment of neurotrophic keratopathy and can be considered for all age groups at an early-stage disease.

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