Endoscopic Corneal Neurotization: Technique and Initial Experience

Purpose: The authors describe a minimally invasive surgical technique to re-establish corneal sensibility in a patient with neurotrophic keratopathy with the supraorbital nerve harvested endoscopically. Methods: Pedicled contralateral supraorbital nerve was harvested endoscopically through small eyelid crease and scalp incisions and transferred to the affected eye. Results: Endoscopic corneal neurotization was successfully performed with restoration of corneal sensibility and corneal epithelial integrity. Conclusions: The use of an endoscope allows for a minimally invasive approach to successful corneal neurotization with the supraorbital nerve. Accepted for publication September 28, 2017. The authors have no financial or conflicts of interest to disclose. Correspondence address and reprint requests to Ilya Leyngold, M.D., Duke Aesthetic Center, DUMC 3810, Durham, NC 27710. E-mail: ilya.leyngold@duke.edu © 2017 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.