Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1

Neurotrophic keratitis (also called neurotrophic keratopathy) (NTK) is a degenerative disease of the cornea, accompanied with neurogenic inflammation. It caused by a sensitive innervation loss of the trigeminal nerve and characterized by reduced sensitivity of the cornea and a retardation of its hea...

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Main Authors: E. A. Kasparova, N. R. Marchenko
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2022-04-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/1768
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author E. A. Kasparova
N. R. Marchenko
author_facet E. A. Kasparova
N. R. Marchenko
author_sort E. A. Kasparova
collection DOAJ
description Neurotrophic keratitis (also called neurotrophic keratopathy) (NTK) is a degenerative disease of the cornea, accompanied with neurogenic inflammation. It caused by a sensitive innervation loss of the trigeminal nerve and characterized by reduced sensitivity of the cornea and a retardation of its healing process. NTC-causing damage to the trigeminal nerve can occur at different levels-from the nucleus to the terminals located in the cornea, and can be caused by ocular and systemic diseases both. The most common causes include herpetic keratitis, diabetes, chemical burns and iatrogenic injuries during ophthalmic operations, intracranial neoplasms, disorders of cerebral circulation and neurosurgical interventions. Corneal changes include epitheliopathy (grade I), persistent erosion (grade II), ulcer and its complications (grade III). The determining diagnostic sign of NTK is a decrease or loss of corneal sensitivity. The morphological characteristics of the corneal nerves can be studied using confocal microscopy.
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spelling doaj-art-6593ec0b74b04fb89f841824f35201752025-08-20T04:00:25ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452022-04-01191384510.18008/1816-5095-2022-1-38-45860Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1E. A. Kasparova0N. R. Marchenko1Research Institute of Eye DiseasesResearch Institute of Eye DiseasesNeurotrophic keratitis (also called neurotrophic keratopathy) (NTK) is a degenerative disease of the cornea, accompanied with neurogenic inflammation. It caused by a sensitive innervation loss of the trigeminal nerve and characterized by reduced sensitivity of the cornea and a retardation of its healing process. NTC-causing damage to the trigeminal nerve can occur at different levels-from the nucleus to the terminals located in the cornea, and can be caused by ocular and systemic diseases both. The most common causes include herpetic keratitis, diabetes, chemical burns and iatrogenic injuries during ophthalmic operations, intracranial neoplasms, disorders of cerebral circulation and neurosurgical interventions. Corneal changes include epitheliopathy (grade I), persistent erosion (grade II), ulcer and its complications (grade III). The determining diagnostic sign of NTK is a decrease or loss of corneal sensitivity. The morphological characteristics of the corneal nerves can be studied using confocal microscopy.https://www.ophthalmojournal.com/opht/article/view/1768neurotrophic keratitisneurotrophic keratopathycorneal erosioncorneal ulcerneurogenic inflammationcorneal meltingcorneal nervesnerve growth factor
spellingShingle E. A. Kasparova
N. R. Marchenko
Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
Oftalʹmologiâ
neurotrophic keratitis
neurotrophic keratopathy
corneal erosion
corneal ulcer
neurogenic inflammation
corneal melting
corneal nerves
nerve growth factor
title Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
title_full Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
title_fullStr Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
title_full_unstemmed Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
title_short Neurotrophic Keratitis. Etiology, Pathogenesis, Clinical Manifestations. Review. Part 1
title_sort neurotrophic keratitis etiology pathogenesis clinical manifestations review part 1
topic neurotrophic keratitis
neurotrophic keratopathy
corneal erosion
corneal ulcer
neurogenic inflammation
corneal melting
corneal nerves
nerve growth factor
url https://www.ophthalmojournal.com/opht/article/view/1768
work_keys_str_mv AT eakasparova neurotrophickeratitisetiologypathogenesisclinicalmanifestationsreviewpart1
AT nrmarchenko neurotrophickeratitisetiologypathogenesisclinicalmanifestationsreviewpart1