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Understanding Neurotrophic Keratitis: Insights from Dr. Nandini Venkateswaran and Leading Ophthalmologists

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Zara Nwosu
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Understanding Neurotrophic Keratitis: Insights from Dr. Nandini Venkateswaran and Leading Ophthalmologists

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Neurotrophic keratitis is a degenerative ocular condition that can be challenging to diagnose and treat. This rare disease significantly impacts the cornea, the clear front surface of the eye, leading to decreased vision and, in severe cases, blindness. In this article, we delve into the insights shared by Dr. Nandini Venkateswaran, a renowned ophthalmologist, on the key points in diagnosing and treating complex cases of neurotrophic keratitis.

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Importance of Accurate Diagnosis

Early and accurate diagnosis of neurotrophic keratitis is vital to prevent progressive corneal damage and vision loss. Dr. Venkateswaran emphasizes the critical role of corroborative tests, such as corneal sensation testing, in the diagnosis process. These tests help detect reduced or absent corneal sensation, a key indicator of neurotrophic keratitis.

Identifying Systemic Comorbidities

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Neurotrophic keratitis is often associated with systemic comorbidities like diabetes mellitus, herpes zoster, or herpes simplex virus infection. Recognizing these underlying conditions can provide clues for diagnosis and help tailor a comprehensive treatment plan.

Consideration of Therapeutics

The treatment of neurotrophic keratitis is multifaceted and tailored to the individual patient’s needs. Dr. Venkateswaran highlights the consideration of various therapeutics, including topical options and other interventional modalities. The choice of treatment depends on the stage of the disease, the patient’s overall health, and their response to previous treatments.

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Ocular Surface Protection and Rehabilitation

Dr. Venkateswaran also underscores the benefits of ocular surface protection and rehabilitation, particularly through the use of scleral lens technology. These lenses not only improve vision but also promote epithelial healing, providing relief from symptoms and slowing disease progression.

Expertise in Neurotrophic Keratitis: Dr. Preeya K Gupta and Dr. Victor L Perez

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Joining the discussion on neurotrophic keratitis are Dr. Preeya K Gupta and Dr. Victor L Perez, esteemed ophthalmologists specializing in anterior segment related eye conditions, including neurotrophic keratitis. Both are affiliated with Duke University Hospital and have received high patient ratings for their expertise and care.

Dr. Gupta, certified in Ophthalmology with active medical licenses in SC, NC, and MN, is particularly adept in cataract surgery, secondary membranous cataract surgery, and cataract treatment. Her research topics, including the efficacy and safety of pilocarpine hydrochloride in presbyopia and clinical diagnosis and management of Demodex blepharitis, contribute substantially to ophthalmology.

Dr. Perez, also certified in Ophthalmology, focuses on cataract-related conditions and neurotrophic keratitis. His contributions to research studies and patient care, coupled with his broad experience, make him a valuable source of knowledge in this field.

In conclusion, neurotrophic keratitis is a complex eye condition requiring early and accurate diagnosis for effective treatment. The shared insights from Dr. Venkateswaran, Dr. Gupta, and Dr. Perez point towards a comprehensive treatment plan incorporating accurate diagnosis, identification of systemic comorbidities, therapeutic consideration, and ocular surface rehabilitation. However, ongoing research is necessary to continually improve the understanding and management of this challenging condition.

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