Lueke J N, Holtmann C, Beseoglu K, Geerling G
Klinik für Augenheilkunde, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
Klinik für Neurochirurgie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
Ophthalmologe. 2020 Mar;117(3):248-252. doi: 10.1007/s00347-019-00980-y.
The previous treatment options for neurotrophic keratopathy (NK) were limited. Frequently performed surgical procedures for severe NK include amnionic membrane transplantation and tarsorrhaphy. Corneal neurotization describes the transposition of a healthy donor nerve along the limbal circumference to re-establish corneal sensation and trophic function. The nerve transfer can be performed either by directly transpositioning the supraorbital nerve as described here or by using a sural nerve interponate.
以往神经营养性角膜病变（NK）的治疗选择有限。对于严重的NK，常用的外科手术包括羊膜移植和睑裂缝合术。角膜神经化是指将健康的供体神经沿角膜缘圆周移位，以重建角膜感觉和营养功能。神经转移可以通过此处所述的直接移位眶上神经来进行，也可以使用腓肠神经移植。
