| Corneal neurotization: a novel technique for the anesthetic cornea. | |
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MedLine Citation:
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PMID: 20489582 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This report describes and evaluates the efficacy of a novel procedure, direct corneal neurotization using contralateral, supraorbital, and supratrochlear nerves in patients with unilateral facial palsy and corneal anesthesia. METHODS: The charts of 6 patients were thoroughly reviewed. Evaluated outcome parameters included corneal sensibility, improvement in best-corrected visual acuity, blink reflex, donor deficit, synesthesia, long-term corneal health, several psychosocial measures, and overall patient satisfaction. RESULTS: The mean age at time of surgery in our study was 41.7 +/- 9.07 years. Average time from denervation to surgery was 7.00 +/- 8.56 years with an average follow-up time of 16.3 +/- 2.42 years. After surgery, all 6 eyes showed improvement of corneal sensibility, visual acuity, and corneal health and remained free of ulcers without adjunctive surgical treatment. Average time to sensibility was 2.80 +/- 2.17 years, and average corneal sensibility improved from 2.00 +/- 4.47 mm before surgery to 27.8 +/- 22.6 mm after corneal neurotization (P < 0.016). CONCLUSIONS: Direct neurotization of the cornea using the contralateral, supraorbital, and supratrochlear branches of the ophthalmic division of the trigeminal nerve seems to be an effective method for restoration of corneal sensibility in patients with unilateral facial palsy and anesthetic cornea. This procedure preserves ocular anatomy and cosmesis while restoring function by improving corneal health and visual acuity and by reestablishing the blink reflex. |
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Authors:
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Julia K Terzis; Marylou M Dryer; Bruce I Bodner |
Publication Detail:
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Type: Journal Article; Retracted Publication |
Journal Detail:
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Title: Cornea Volume: 29 ISSN: 1536-4798 ISO Abbreviation: Cornea Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-28 Completed Date: 2010-09-29 Revised Date: 2010-10-29 |
Medline Journal Info:
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Nlm Unique ID: 8216186 Medline TA: Cornea Country: United States |
Other Details:
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Languages: eng Pagination: 812-9 Citation Subset: IM |
Affiliation:
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Microsurgical Research Center, International Institute of Reconstructive Microsurgery, Division of Plastic and Reconstructive Surgery, Department of Surgery, Eastern Virginia Medical School, Norfolk, VA 23501, USA. mrc@jkterzis.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cornea / innervation* Corneal Diseases / surgery* Denervation Facial Paralysis / surgery* Female Humans Hypesthesia / surgery* Male Middle Aged Nerve Transfer / methods* Questionnaires Time Factors Trigeminal Nerve / surgery* Trochlear Nerve / surgery* Visual Acuity Young Adult |
| Comments/Corrections | |
Retraction In:
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Cornea. 2010 Nov;29(11):1332
[PMID:
20966679
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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