Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia
Joint Authors
Shimomura, Yoshikazu
Kodama-Takahashi, Aya
Sugioka, Koji
Sato, Tomoko
Nishida, Koichi
Aomatsu, Keiichi
Fukuda, Masahiko
Source
Case Reports in Ophthalmological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
To report a case of persistent corneal epithelial defect that had occurred after a trigeminal nerve block.
Case Presentation.
A 75-year-old female had suffered from postherpetic neuralgia for 8 years.
She underwent Gasserian ganglion block surgery and noticed declining visual acuity in the right eye on the following day.
She presented with severe hyperemia and corneal epithelial defects in the right eye and experienced remarkable reduction of sensitivity in the right cornea.
She was diagnosed with neurotrophic keratopathy.
Ofloxacin eye ointment and rebamipide ophthalmic suspension ameliorated the corneal epithelial defects but superficial punctate keratopathy, corneal superficial neovascularization, and Descemet’s fold persisted.
Although the epithelial defects occasionally recurred, the corneal sensation and epithelial defects, Descemet’s fold, and corneal superficial neovascularization all improved around 5 months after trigeminal nerve block.
The HRT II Rostock Cornea Module (RCM) could not detect any corneal subbasal nerve fibers at postoperative 4 months; however, it could detect them at postoperative 6 months.
Conclusions.
As the nerve block effect wore off, the corneal subbasal nerve fibers slowly regenerated.
As the corneal sensation improved, the corneal epithelial defects and superficial neovascularization also improved.
The HRT II RCM appeared useful for observing loss and regeneration of the corneal subbasal nerve fibers.
American Psychological Association (APA)
Kodama-Takahashi, Aya& Sugioka, Koji& Sato, Tomoko& Nishida, Koichi& Aomatsu, Keiichi& Fukuda, Masahiko…[et al.]. 2018. Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia. Case Reports in Ophthalmological Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1146797
Modern Language Association (MLA)
Kodama-Takahashi, Aya…[et al.]. Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia. Case Reports in Ophthalmological Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1146797
American Medical Association (AMA)
Kodama-Takahashi, Aya& Sugioka, Koji& Sato, Tomoko& Nishida, Koichi& Aomatsu, Keiichi& Fukuda, Masahiko…[et al.]. Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia. Case Reports in Ophthalmological Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1146797
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146797