Department of Cornea and Refractive Surgery, Instituto de Oftalmología "Conde de Valenciana, Mexico City, Mexico.
Department of Ophthalmology and Visual Sciences, University of Illinois-Chicago (UIC), Chicago, IL 60612, USA.
Surv Ophthalmol. 2024 Sep-Oct;69(5):789-804. doi: 10.1016/j.survophthal.2024.04.004. Epub 2024 Apr 26.
Neurotrophic keratopathy is an uncommon degenerative corneal disorder characterized by compromised corneal sensory innervation resulting in the formation of epithelial defects and nonhealing corneal ulcers. Various treatment modalities are available to stabilize disease progression, improve patient well-being, and prevent vision loss. For eligible patients, medical and surgical reinnervation have emerged as pioneering therapies, holding promise for better management. We present a comprehensive review of the disorder, providing an update relevant to ophthalmologists on pathogenesis, diagnosis, treatment options, and novel therapies targeting pathophysiological pathways.
神经营养性角膜病变是一种罕见的退行性角膜疾病,其特征是角膜感觉神经支配受损,导致上皮缺损和角膜溃疡不愈合。有多种治疗方法可用于稳定疾病进展、改善患者的舒适度并防止视力丧失。对于符合条件的患者,医学和手术再神经支配已成为开创性治疗方法,为更好的管理提供了希望。我们对该疾病进行了全面回顾,为眼科医生提供了与发病机制、诊断、治疗选择和针对病理生理途径的新疗法相关的最新信息。