Abstract

Purpose of Review: Corneal neuropathic pain can be difficult to treat, particularly due to its lack of response to standard dry eye therapies. We describe a variety of topical therapeutic options that are available to treat corneal neuropathic pain with a significant or primary peripheral component. We also describe possible mechanisms of action for such topical therapies. Recent Findings: Topical corticosteroids and blood-derived tear preparations can be helpful. Newer therapies, including topical lacosamide and low-dose naltrexone are emerging therapeutic options that may also be considered. Summary: Corneal neuropathic pain with a significant peripheral component may be managed with a variety of topical therapeutic options.

Highlights

  • Corneal neuropathic pain has perplexed ophthalmologists because of its symptomatic masquerade as dry eye disease

  • We describe a variety of topical therapeutic options that are available to treat corneal neuropathic pain with a significant or primary peripheral component

  • Summary: Corneal neuropathic pain with a significant peripheral component may be managed with a variety of topical therapeutic options

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Summary

Topical Therapeutic Options in Corneal Neuropathic Pain

Jeremy Nortey 1,2, David Smith 3, Gerami D. Reviewed by: Piera Versura, University of Bologna, Italy Anna Maria Roszkowska, University of Messina, Italy. Purpose of Review: Corneal neuropathic pain can be difficult to treat, due to its lack of response to standard dry eye therapies. We describe a variety of topical therapeutic options that are available to treat corneal neuropathic pain with a significant or primary peripheral component. We describe possible mechanisms of action for such topical therapies. Recent Findings: Topical corticosteroids and blood-derived tear preparations can be helpful. Newer therapies, including topical lacosamide and low-dose naltrexone are emerging therapeutic options that may be considered. Summary: Corneal neuropathic pain with a significant peripheral component may be managed with a variety of topical therapeutic options

INTRODUCTION
Mechanism of action
ASSESSMENT OF CORNEAL NEUROPATHIC PAIN
Topical Corticosteroids
Topical Lacosamide
DISCUSSION
AUTHOR CONTRIBUTIONS

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