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Neurotrophic Corneal Ulcer clinical trials

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NCT ID: NCT05940376 Not yet recruiting - Diabetes Mellitus Clinical Trials

Topical Insulin in Neurotrophic Keratopathy After Diabetic Vitrectomy

Start date: July 15, 2023
Phase:
Study type: Observational

Various treatment options have been proposed in managing NK such as preservative-free lubrication (PF-L), withdrawal of epitheliotoxic medication, prophylactic antibiotics, applying of bandage contact lenses, using hemoderivatives 8, topical insulin, recombinant nerve growth factor (rNGF) or epidermal growth factor (rEGF).11,12, amniotic membrane transplant (AMT), or corneal neurotization.2,4,9,10 Topical insulin has been reported to effectively promote the healing of persistent corneal epithelial defects. In our retrospective study, we explored the safety and efficacy of topical insulin, as a first-line treatment, in treatment-naïve acute NK after diabetic vitrectomy.