Neurotrophic Keratopathy Treated with Topical Recombinant Human Nerve Growth Factor (Cenegermin): Case Series Study with Long-Term Follow-Up
The authors report the use of topical recombinant human nerve growth factor cenegermin 0.02% in 5 patients diagnosed with neurotrophic keratopathy (NK) in a real-life setting. These 5 patients affected with stage II and III NK mainly of herpetic cause received cenegermin six times daily for 8 weeks....
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Veröffentlicht in: | Case Reports in Ophthalmology 2022-08, Vol.13 (2), p.663-670 |
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description | The authors report the use of topical recombinant human nerve growth factor cenegermin 0.02% in 5 patients diagnosed with neurotrophic keratopathy (NK) in a real-life setting. These 5 patients affected with stage II and III NK mainly of herpetic cause received cenegermin six times daily for 8 weeks. It was initiated upon refractoriness to prior conventional topical treatment. Visual acuity, corneal sensitivity test at four corneal quadrants, fluorescein staining, OC,T and photography were performed weekly during 9 weeks of follow-up from the completion of treatment. At the ninth week of follow-up, corneal sensitivity improvement and healing of corneal ulcers were found in all patients. No adverse events were reported, and no corneal ulcer recurrence was observed over a 4-year follow-up period. Cenegermin should be used in combination with conventional therapy for advanced NK, as it is an effective treatment for healing corneal ulcers, improving the corneal surface homeostasis and avoiding surgery. |
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These 5 patients affected with stage II and III NK mainly of herpetic cause received cenegermin six times daily for 8 weeks. It was initiated upon refractoriness to prior conventional topical treatment. Visual acuity, corneal sensitivity test at four corneal quadrants, fluorescein staining, OC,T and photography were performed weekly during 9 weeks of follow-up from the completion of treatment. At the ninth week of follow-up, corneal sensitivity improvement and healing of corneal ulcers were found in all patients. No adverse events were reported, and no corneal ulcer recurrence was observed over a 4-year follow-up period. Cenegermin should be used in combination with conventional therapy for advanced NK, as it is an effective treatment for healing corneal ulcers, improving the corneal surface homeostasis and avoiding surgery.</description><identifier>ISSN: 1663-2699</identifier><identifier>EISSN: 1663-2699</identifier><identifier>DOI: 10.1159/000525923</identifier><identifier>PMID: 36160492</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Case Report ; Case reports ; cenegermin ; Cornea ; Disease ; Fluorescein ; Growth factors ; Health aspects ; Inflammation ; Nerve growth factor ; neurotrophic keratopathy ; Patients ; recombinant human nerve growth factor ; Ulcers</subject><ispartof>Case Reports in Ophthalmology, 2022-08, Vol.13 (2), p.663-670</ispartof><rights>2022 The Author(s). Published by S. Karger AG, Basel</rights><rights>COPYRIGHT 2022 S. Karger AG</rights><rights>2022 The Author(s). Published by S. Karger AG, Basel . 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Cenegermin should be used in combination with conventional therapy for advanced NK, as it is an effective treatment for healing corneal ulcers, improving the corneal surface homeostasis and avoiding surgery.</description><subject>Case Report</subject><subject>Case reports</subject><subject>cenegermin</subject><subject>Cornea</subject><subject>Disease</subject><subject>Fluorescein</subject><subject>Growth factors</subject><subject>Health aspects</subject><subject>Inflammation</subject><subject>Nerve growth factor</subject><subject>neurotrophic keratopathy</subject><subject>Patients</subject><subject>recombinant human nerve growth factor</subject><subject>Ulcers</subject><issn>1663-2699</issn><issn>1663-2699</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNptkk1r3EAMhk1paUKaQ-89DOTSHJzOtz09FMLSTUJDUprt2YzHmt3Zej3OeJxl_0N_dGfrsDRQdJCQHr1ISFn2nuALQoT6hDEWVCjKXmXHREqWU6nU63_io-x0GNYJw0zRkoi32RGTRGKu6HH2-w7G4GPw_coZ9A2Cjr7XcbVDiwA6QoO2Lq7QwvfO6Bb9AOM3tet0F9H1uNEduoPwBOgq-G3C5tpEH9DHGXSwhLBx3flnNNMDoAcIDgb0EMdmN0ne-m6ZLxKE5r5t_Tb_2b_L3ljdDnD67E-yxfzrYnad395f3cwub3MjqIo5Z4WwAoSwqrDKSpLWqQtlCdHJDOWmLm1dS8KN5oXkYKkAJkHIRmCq2El2M8k2Xq-rPriNDrvKa1f9TfiwrHSIzrRQYSYNLy0oizHHuFS8phjbQorkFZNJ68uk1Y_1BhoDXQy6fSH6stK5VbX0T5XiQglWJoGzZ4HgH0cYYrX2Y-jS-hUtCKcl52Q_8sVELXWaynU2nUybZA1snPEdWJfylwUpJONluW84nxpM8MMQwB5GIrja_011-JvEfpjYXzqkqx3IQ_nsv-XZ_feJqPrGsj_RwMgN</recordid><startdate>20220831</startdate><enddate>20220831</enddate><creator>García-Delpech, Salvador</creator><creator>Udaondo, Patricia</creator><creator>Fernández-Santodomingo, Alex Samir</creator><creator>García-Teillard, Damian</creator><general>S. 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These 5 patients affected with stage II and III NK mainly of herpetic cause received cenegermin six times daily for 8 weeks. It was initiated upon refractoriness to prior conventional topical treatment. Visual acuity, corneal sensitivity test at four corneal quadrants, fluorescein staining, OC,T and photography were performed weekly during 9 weeks of follow-up from the completion of treatment. At the ninth week of follow-up, corneal sensitivity improvement and healing of corneal ulcers were found in all patients. No adverse events were reported, and no corneal ulcer recurrence was observed over a 4-year follow-up period. Cenegermin should be used in combination with conventional therapy for advanced NK, as it is an effective treatment for healing corneal ulcers, improving the corneal surface homeostasis and avoiding surgery.</abstract><cop>Basel, Switzerland</cop><pub>S. 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subjects | Case Report Case reports cenegermin Cornea Disease Fluorescein Growth factors Health aspects Inflammation Nerve growth factor neurotrophic keratopathy Patients recombinant human nerve growth factor Ulcers |
title | Neurotrophic Keratopathy Treated with Topical Recombinant Human Nerve Growth Factor (Cenegermin): Case Series Study with Long-Term Follow-Up |
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