Restoring sight and smile: Combined corneal neurotization with facial reanimation surgery
Author: Svati Bansal
Base Hospital / Institution: Narayana nethralya
Abstract ID: 25-235
Purpose
To study the efficacy of combined corneal neurotization and facial nerve reanimation surgery in patients with multiple cranial nerve palsies
Methods
This study included 8 patients who developed neurotrophic keratitis and exposure keratopathy due to fifth and seventh nerve palsy following neurosurgical procedures. All patients underwent a combined indirect corneal neurotization and facial reanimation surgery. The corneal sensations, ocular surface and visual acuity were assessed at the end of 3 months, 6 months and 1 year
Results
All patients showed an improvement in corneal sensations and ocular surface after 6 months.Visual acuity improved in all but one patient who had developed corneal scarring preoperatively.
Conclusion
Corneal neurotization is a proven technique for improving corneal sensations in neurotrophic keratitis. However correction of a co-existing lagophthalmos improves visual outcomes in patients with a combined etiology of keratitis.
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