Human recombinant nerve growth factor (Cenegermin) in a patient affected by primary congenital glaucoma with neurotrophic keratopathy

Ivano Riva, Eleonora Micheletti, Riccardo Fausto, Carlo Bruttini, Giovanni De Angelis, Roberto Ceccuzzi, Luciano Quaranta

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report a case of neurotrophic keratopathy (NK) in a patient affected by primary congenital glaucoma (PCG) who undergone glaucoma drainage implant surgery. NK was successfully treated with human recombinant Nerve Growth Factor (Cenegermin) eye drops. Case report description: A 46-years-old patient affected by primary congenital glaucoma underwent Ahmed glaucoma valve implantation in the right eye, after several unsuccessful surgeries to control intraocular pressure (IOP) since the age of three. Surgical intervention was performed without complications, and IOP was well-controlled post-operatively. However, 1 month after surgery, he developed NK with stromal ulceration, initially treated with a topical combination of preservative-free artificial tears and antibiotic ointment. As NK did not resolve, a new treatment with Cenegermin 20 µg/ml eye drops, 6 times daily, was started. Outcome: NK completely resolved after 8 weeks of Cenegermin treatment, with complete restoration of corneal integrity and improvement of corneal sensitivity and transparency. Visual acuity in the operated eye reverted to the pre-operative value. Conclusion: Cenegermin was extremely effective in restoring corneal integrity in this PCG patient with NK.

Original languageEnglish
JournalEuropean Journal of Ophthalmology
DOIs
Publication statusAccepted/In press - 2021

Keywords

  • childhood glaucoma
  • confocal microscopy
  • human recombinant nerve growth factor
  • Neurotrophic keratopathy

ASJC Scopus subject areas

  • Ophthalmology

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