Contact Lens-Based Management of Neurotrophic Keratopathy in Rhombencephalosynapsis Without Alopecia (a Gómez-López-Hernández Syndrome Variant).

Authors

Andreas J M van Henten, Isabelle E Y Saelens, Catherine Cassiman

Published in

Journal of pediatric ophthalmology and strabismus. Volume 63. Issue 5. Pages e39-e42. Epub Sep 01, 2026.

Abstract

A child with rhombencephalosynapsis, part of the Gómez-López-Hernández spectrum, developed bilateral corneal hypoesthesia and neurotrophic keratopathy. Recurrent epithelial defects and progressive corneal haze occurred despite conservative therapy with lubrication, serum drops, and topical treatment. A persistent epithelial defect healed rapidly after application of a bandage contact lens. This case highlights the importance of early ophthalmologic surveillance and corneal sensitivity assessment in children with rhombencephalosynapsis. Bandage contact lenses are a safe and effective treatment option in pediatric neurotrophic keratopathy, promoting epithelial healing and helping prevent corneal scarring and vision loss.

PMID:
42765609
Bibliographic data and abstract were imported from PubMed on 21 Sep 2026.

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