Trophic keratopathy treatment and lagophthalmos correction in neurosurgical patients

In the neuroophthalmological practice, there is an everyday necessity to correct neurogenic corneal xerosis and lagophthalmos in neurosurgical patients. Recently, the objectives of adequate treatment of patients with “dry eye” syndrome, coupled with n. trigemini and facial nerve dysfunction, gain more and more significance. 245 patients with lagophthalmos or trophic keratopathy were analyzed. We divided all patients into 4 groups according to methods initially used to correct lagophthalmos and/or trophic keratopathy: keratoprotective treatment, induced ptosis, surgical lagophthalmos correction, “bandage” soft contact lenses. An algorithm of therapy tactics choice for patients with lagophthalmos and/or trophic keratopathy is proposed.

trophic keratopathy, lagophthalmos, keratoprotective therapy, induced ptosis, “bandage” soft contact lenses, bloody blepharorraphy