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Topical Therapeutic Options in Corneal Neuropathic Pain (Abstract)
Front Pharmacol
31 January 2022
https://pubmed.ncbi.nlm.nih.gov/35173607/
Purpose of Review: Corneal neuropathic pain can be difficult to treat, particularly due to its lack of response to standard dry eye therapies. We describe a variety of topical therapeutic options that are available to treat corneal neuropathic pain with a significant or primary peripheral component. We also describe possible mechanisms of action for such topical therapies. Recent Findings: Topical corticosteroids and blood-derived tear preparations can be helpful. Newer therapies, including topical lacosamide and low-dose naltrexone are emerging therapeutic options that may also be considered. Summary: Corneal neuropathic pain with a significant peripheral component may be managed with a variety of topical therapeutic options.
Keywords: corneal neuropathic pain; lacosamide; low-dose naltrexone; neuropathic ocular pain; serum tears; sub-basal corneal nerve plexus.