Treatment of Dry Eye from Laser-Assisted In Situ Keratomileusis With Recombinant Human Nerve Growth Factor (Cenegermin)

Cornea. 2021 Aug 1;40(8):1059-1061. doi: 10.1097/ICO.0000000000002554.

Abstract

Purpose: To describe 2 patients with neurotrophic keratitis after laser-assisted in situ keratomileusis surgery who were treated with recombinant human nerve growth factor (cenegermin) and the treatment course.

Methods: Case series.

Results: After an 8 week course of cenegermin, there was an improvement in visual acuity, corneal sensitivity, and ocular surface staining. However, these effects were short lived, and the disease regressed at subsequent follow-up visits.

Conclusions: Although recombinant human nerve growth factor seems to be effective in short term for neurotrophic keratitis secondary to laser-assisted in situ keratomileusis surgery, alternative dosing for patients with this patient population should be considered to achieve long-lasting resolution.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Dry Eye Syndromes / diagnosis
  • Dry Eye Syndromes / therapy*
  • Female
  • Humans
  • Keratomileusis, Laser In Situ / methods*
  • Male
  • Middle Aged
  • Nerve Growth Factor / therapeutic use*
  • Recombinant Proteins / therapeutic use
  • Slit Lamp Microscopy
  • Visual Acuity*

Substances

  • Recombinant Proteins
  • Nerve Growth Factor
  • cenegermin