Insulina tópica en queratopatía neurotrófica tras resección de neurinoma del acústico

Translated title of the contribution: Topical insulin in neurotrophic keratopathy after resection of acoustic neuroma

V. Galvis, C. A. Niño, A. Tello, J. M. Grice, M. A. Gómez

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Case report: A patient with a history of surgical resection of an acoustic neuroma presented with involvement of both the left facial nerve and the left trigeminal nerve. She initially consulted for exposure keratitis, but two weeks later presented with an infectious keratitis. After taking the corneal sample, she presented with persistent epithelial defect, which did not respond to medical management. Topical insulin was indicated, and a decrease in the area of the lesion was seen in the following 5 days. A therapeutic contact lens was also placed at that time and finally, two weeks after the initiation of insulin, the epithelial defect completely closed. Discussion: This was a complex case due to the confluence of facial paralysis, neurotrophic keratitis, and infectious keratitis, which finally had a successful outcome. Topical insulin can be an effective adjuvant therapy in cases of neurotrophic ulcers that do not respond to standard therapy.

Translated title of the contributionTopical insulin in neurotrophic keratopathy after resection of acoustic neuroma
Original languageSpanish
Pages (from-to)100-104
Number of pages5
JournalArchivos de la Sociedad Espanola de Oftalmologia
Volume94
Issue number2
DOIs
StatePublished - Feb 2019

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