Anesthetic cornea causing neurotrophic keratitis is frequently missed when it presents early. It is important to check corneal sensation in any corneal defect, especially when there are no predisposing risk factors.
A 77-year-old male patient was referred to the eye casualty department. Examination showed a right corneal abrasion, laxity at the medial aspect of the right lower lid with no evidence of corneal exposure, and a good Bell phenomenon. There was no history of trauma or viral illness. Follow-up was organized for the abnormal lid position.
Kyprianou I, Mollan SP, Tsaluomas MD, Jacks AS. Corneal SensationA Test Not to Omit. Arch Neurol. 2006;63(11):1656-1657. doi:10.1001/archneur.63.11.1656