Abstract
Neste artigo descrevemos como conduzimos com sucesso um caso de ulcera neurotrofica nao responsivo a terapia convencional com o uso de lente de contato escleral e as vantagens desta terapeutica. Utilizacao de lente de contato escleral na abordagem terapeutica da ulcera neurotrofica corneana
Highlights
Neurotrophic keratitis (NK) is a corneal disease caused by impairment of trigeminal innervation, reduction or total loss of corneal sensitivity, leading to epithelial damage, impairment of healing, and development of ulceration
Evidence shows that the use of the scleral contact lens may be a good alternative for NK treatment.[14]. In the present paper we will describe the use of the scleral contact lens as a form of therapy for this condition
The diagnostic hypothesis was of neurotrophic ulcer due to the history of firearm injury with altered sensitivity test, ulcer characteristics and reduced blink reflex
Summary
Neurotrophic keratitis (NK) is a corneal disease caused by impairment of trigeminal innervation, reduction or total loss of corneal sensitivity, leading to epithelial damage, impairment of healing, and development of ulceration. Neste artigo descrevemos como conduzimos com sucesso um caso de úlcera neurotrófica não responsivo à terapia convencional com o uso de lente de contato escleral e as vantagens desta terapêutica. Descritores: Doenças da córnea; Úlcera da córnea; Lesões da córnea; Lentes de contato; Esclera; Relatos de casos Residency Program in Ophthalmology; Centro de Oftalmologia Tadeu Cvintal, São Paulo, SP, Brazil.
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