Abstract
In this article, acase of recurrent epithelial defects in neurotrophic keratopathy is described. Multiple abrasions of the corneal epithelium with atherapeutic contact lens, corneal stitches, and amniotic membrane transplantation in combination with artificial tears brought only short-term success. However, abotulinum toxinA induced protective ptosis could finally achieve permanent epithelial closure. As this case shows, protective ptosis can be apromising approach in spite of multiple previous ineffective therapeutic efforts.
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