Treating Neurotrophic Keratitis: Innovative Approaches in Modern Optometry

Neurotrophic keratitis is a rare but serious degenerative disease of the cornea caused by impaired corneal nerve function. When the nerves of the cornea fail to send proper signals, healing slows down, protective reflexes are reduced, and the eye becomes vulnerable to chronic injury and vision loss. Early detection and advanced treatment are essential to preserving sight and preventing complications.
 

What Is Neurotrophic Keratitis?

Neurotrophic keratitis often develops due to conditions such as herpes simplex or herpes zoster infections, diabetes, ocular surgeries, or long-term contact lens wear. Because symptoms can be surprisingly mild (even in advanced cases) patients may not realize the severity of their condition until significant corneal damage has occurred. Common signs include persistent dryness, recurrent corneal ulcers, or delayed wound healing.
 

Lubrication and Protective Therapies

Artificial tears, lubricating ointments, and therapeutic contact lenses (like scleral lenses) provide essential moisture and protect the cornea. These treatments help reduce friction and encourage the cornea to heal.
 

Advanced Lens Technology

Scleral and bandage contact lenses act as protective barriers while maintaining a reservoir of fluid against the eye. These innovative designs shield the cornea from further injury and provide continuous hydration. By vaulting over the corneal surface and resting on the sclera (the white part of the eye), scleral lenses create a smooth optical surface that not only promotes healing but also improves vision clarity in patients with corneal irregularities.

Bandage contact lenses provide a soft protective layer that reduces friction from blinking and allows the cornea to repair itself more effectively. Both options can be combined with therapeutic drops or medications, enhancing drug delivery while protecting the eye. For many patients with neurotrophic keratitis, these lenses serve as a bridge between conservative therapy and more advanced interventions, giving the cornea a chance to recover and stabilize.
 

Take the Next Step Toward Healthy Vision

Neurotrophic keratitis is a complex condition, but with today’s advanced therapies, there is hope for healing and preserving vision. If you are experiencing persistent eye discomfort, slow-healing corneal issues, or have underlying risk factors, early intervention is critical.

Schedule your comprehensive eye exam with Barry Huse OD & Associates to learn about advanced treatments for neurotrophic keratitis. Visit our office in Tacoma, Washington, or call (253) 473-1050 to book an appointment today.