Topical Therapeutic Options in Corneal Neuropathic Pain

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....

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Main Authors: Jeremy Nortey, David Smith, Gerami D. Seitzman, John A. Gonzales
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-01-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.769909/full
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author Jeremy Nortey
Jeremy Nortey
David Smith
Gerami D. Seitzman
Gerami D. Seitzman
John A. Gonzales
John A. Gonzales
author_facet Jeremy Nortey
Jeremy Nortey
David Smith
Gerami D. Seitzman
Gerami D. Seitzman
John A. Gonzales
John A. Gonzales
author_sort Jeremy Nortey
collection DOAJ
description 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.
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spelling doaj.art-accb48c6ae754125a0776ba5fd038b7c2022-12-22T04:10:04ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-01-011210.3389/fphar.2021.769909769909Topical Therapeutic Options in Corneal Neuropathic PainJeremy Nortey0Jeremy Nortey1David Smith2Gerami D. Seitzman3Gerami D. Seitzman4John A. Gonzales5John A. Gonzales6School of Medicine, University of North Carolina, Chapel Hill, NC, United StatesaFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, United StatesA&O Compounding Pharmacy, Vallejo, CA, United StatesFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, United StatesDepartment of Ophthalmology, University of California, San Francisco, San Francisco, CA, United StatesFrancis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, United StatesDepartment of Ophthalmology, University of California, San Francisco, San Francisco, CA, United StatesPurpose 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.https://www.frontiersin.org/articles/10.3389/fphar.2021.769909/fullcorneal neuropathic painneuropathic ocular painlow-dose naltrexonelacosamidesub-basal corneal nerve plexusserum tears
spellingShingle Jeremy Nortey
Jeremy Nortey
David Smith
Gerami D. Seitzman
Gerami D. Seitzman
John A. Gonzales
John A. Gonzales
Topical Therapeutic Options in Corneal Neuropathic Pain
Frontiers in Pharmacology
corneal neuropathic pain
neuropathic ocular pain
low-dose naltrexone
lacosamide
sub-basal corneal nerve plexus
serum tears
title Topical Therapeutic Options in Corneal Neuropathic Pain
title_full Topical Therapeutic Options in Corneal Neuropathic Pain
title_fullStr Topical Therapeutic Options in Corneal Neuropathic Pain
title_full_unstemmed Topical Therapeutic Options in Corneal Neuropathic Pain
title_short Topical Therapeutic Options in Corneal Neuropathic Pain
title_sort topical therapeutic options in corneal neuropathic pain
topic corneal neuropathic pain
neuropathic ocular pain
low-dose naltrexone
lacosamide
sub-basal corneal nerve plexus
serum tears
url https://www.frontiersin.org/articles/10.3389/fphar.2021.769909/full
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