Corneal Neurotization leads to high patient satisfaction & s
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The aim of this study was to assess clinical outcomes of corneal neurotization (CN) and determine patient perception of postoperative results that concluded corneal wellbeing and sensibility while also providing high patient satisfaction.

This was a retrospective analysis that looked at 29 eyes from 28 patients who had CN. Demographic and clinical history; ophthalmic inspection, including visual acuity, ocular surface consistency, and corneal sensation; surgical technique; and postoperative course were all included in the chart analysis. Patients subjective self-reported surgical performance results were also evaluated. In the statistical study, only eyes with at least 6 months of follow-up were included. A total of 24 eyes and 23 patients were included in statistical analyses.

Results:
--The median postoperative follow-up time was 12.2 months. 23 eyes achieved improvement in ocular surface quality. 11 of 13 demonstrated healing of persistent epithelial defects at their last follow-up.

--Patients gained a median of 2.3 cm in Cochet–Bonnet esthesiometry measurements of sensation. No significant difference was found between preoperative and postoperative visual acuity.

--All 17 patients who provided self-assessment of their surgical outcome indicated they would undergo CN again if given the choice.

--Most of the patients reported that the postoperative pain was tolerable, with a median pain score of 3.0 on a 10-point scale (interquartile range 0.0–4.0).

--16 patients reported full or partial return of skin sensation along the donor nerve distribution.

In conclusion, corneal neurotization improves corneal wellbeing and sensibility while also providing high patient satisfaction and reducing postoperative discomfort and morbidity.

Source: https://journals.lww.com/corneajrnl/Abstract/9000/Clinical_Outcomes_and_Patient_Satisfaction_After.95766.aspx
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