Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis

Neurotrophic keratitis is a frequent complication of neurosurgical interventions caused by a loss of corneal sensitivity due to damage of the trigeminal nerve pathway. The article presents a clinical case of a successful treatment of a neurotrophic corneal ulcer developed after removal of a giant tr...

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Main Authors: E. A. Kasparova, Z. V. Surnina, N. R. Marchenko, L. S. Pateyuk, V. D. Yartsev
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2024-12-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/2503
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author E. A. Kasparova
Z. V. Surnina
N. R. Marchenko
L. S. Pateyuk
V. D. Yartsev
author_facet E. A. Kasparova
Z. V. Surnina
N. R. Marchenko
L. S. Pateyuk
V. D. Yartsev
author_sort E. A. Kasparova
collection DOAJ
description Neurotrophic keratitis is a frequent complication of neurosurgical interventions caused by a loss of corneal sensitivity due to damage of the trigeminal nerve pathway. The article presents a clinical case of a successful treatment of a neurotrophic corneal ulcer developed after removal of a giant trigeminal neurinoma. Treatment with autologous serum instillations made it possible to achieve ulcer healing and unstable corneal epithelialization. Stable epithelialization was achieved after temporary replacement of the autologous serum topical application with recombinant human nerve growth factor. In addition to ulcer healing and complete corneal epithelialization, regeneration of nerve fibers was noted (according to cornea confocal microscopy data).
format Article
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institution DOAJ
issn 1816-5095
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language Russian
publishDate 2024-12-01
publisher Ophthalmology Publishing Group
record_format Article
series Oftalʹmologiâ
spelling doaj-art-aea8dc62e9c44b2391bc09bf84dfb0e92025-08-20T03:01:50ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452024-12-0121477778510.18008/1816-5095-2024-4-777-7851204Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic KeratitisE. A. Kasparova0Z. V. Surnina1N. R. Marchenko2L. S. Pateyuk3V. D. Yartsev4Krasnov Research Institute of Eye DiseasesKrasnov Research Institute of Eye DiseasesKrasnov Research Institute of Eye DiseasesKrasnov Research Institute of Eye DiseasesKrasnov Research Institute of Eye DiseasesNeurotrophic keratitis is a frequent complication of neurosurgical interventions caused by a loss of corneal sensitivity due to damage of the trigeminal nerve pathway. The article presents a clinical case of a successful treatment of a neurotrophic corneal ulcer developed after removal of a giant trigeminal neurinoma. Treatment with autologous serum instillations made it possible to achieve ulcer healing and unstable corneal epithelialization. Stable epithelialization was achieved after temporary replacement of the autologous serum topical application with recombinant human nerve growth factor. In addition to ulcer healing and complete corneal epithelialization, regeneration of nerve fibers was noted (according to cornea confocal microscopy data).https://www.ophthalmojournal.com/opht/article/view/2503corneal ulcercorneal nerve fibersin vivo cmcenegermin
spellingShingle E. A. Kasparova
Z. V. Surnina
N. R. Marchenko
L. S. Pateyuk
V. D. Yartsev
Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
Oftalʹmologiâ
corneal ulcer
corneal nerve fibers
in vivo cm
cenegermin
title Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
title_full Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
title_fullStr Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
title_full_unstemmed Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
title_short Autologous Serum and Recombinant Nerve Growth Factor in the Complex Treatment of Neurotrophic Keratitis
title_sort autologous serum and recombinant nerve growth factor in the complex treatment of neurotrophic keratitis
topic corneal ulcer
corneal nerve fibers
in vivo cm
cenegermin
url https://www.ophthalmojournal.com/opht/article/view/2503
work_keys_str_mv AT eakasparova autologousserumandrecombinantnervegrowthfactorinthecomplextreatmentofneurotrophickeratitis
AT zvsurnina autologousserumandrecombinantnervegrowthfactorinthecomplextreatmentofneurotrophickeratitis
AT nrmarchenko autologousserumandrecombinantnervegrowthfactorinthecomplextreatmentofneurotrophickeratitis
AT lspateyuk autologousserumandrecombinantnervegrowthfactorinthecomplextreatmentofneurotrophickeratitis
AT vdyartsev autologousserumandrecombinantnervegrowthfactorinthecomplextreatmentofneurotrophickeratitis