Case Report

Neurotrophic Keratopathy after Trigeminal Nerve Block for Treatment of Postherpetic Neuralgia

Table 1

Details of the clinical findings of the right eye.

Time point after trigeminal nerve blockClinical findingsStage of NKCorneal sensation (mm)

5 days: First visitSevere conjunctival hyperemia
Corneal superficial neovascularization
Corneal epithelial defect
Descemet’s membrane folds
Mild stromal edema
Stage 2<10

1 weekSevere conjunctival hyperemia
Corneal superficial neovascularization
Corneal epithelial defect
Cloudy and irregular corneal epithelium
Descemet’s membrane folds
Stage 2<10

1 monthSuperficial punctate keratopathy (SPK)
Severe conjunctival hyperemia
Corneal superficial neovascularization
Corneal stromal edema
Stage 210

2 monthsSuperficial punctate keratopathy (SPK)
Conjunctival hyperemia
Corneal superficial neovascularization
Irregularity of corneal epithelium
Stromal scarring in the central cornea
Stage 10

5 monthsMild irregularity of corneal epithelium, stromal scarring in the central cornea, conjunctival hyperemia and corneal superficial neovascularization are overall improving.Stage 150

6 monthsSPK and conjunctival hyperemia, corneal superficial neovascularization, and corneal stromal edema were all ameliorated.60