Endoscopic Corneal Neurotization: Technique and Initial Experience

Ophthalmic Plast Reconstr Surg. 2018 Jan/Feb;34(1):82-85. doi: 10.1097/IOP.0000000000001023.

Abstract

Purpose: The authors describe a minimally invasive surgical technique to re-establish corneal sensibility in a patient with neurotrophic keratopathy with the supraorbital nerve harvested endoscopically.

Methods: Pedicled contralateral supraorbital nerve was harvested endoscopically through small eyelid crease and scalp incisions and transferred to the affected eye.

Results: Endoscopic corneal neurotization was successfully performed with restoration of corneal sensibility and corneal epithelial integrity.

Conclusions: The use of an endoscope allows for a minimally invasive approach to successful corneal neurotization with the supraorbital nerve.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Cornea / innervation*
  • Corneal Diseases / surgery*
  • Endoscopy / methods*
  • Female
  • Humans
  • Nerve Regeneration*
  • Nerve Transfer / methods*
  • Ophthalmic Nerve / physiopathology
  • Ophthalmic Nerve / surgery*
  • Ophthalmologic Surgical Procedures / methods*