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October 2016
neuropathic pain, Drs. Sayegh and
Hayek said. EW
References
1. Hayek SM, et al. Successful management
of corneal neuropathic pain with intra-
thecal targeted drug delivery. Pain Med.
2016;17:1302–7.
2. Sayegh RR, et al. Electrical stimulation
of the trigeminal ganglion and intrathecal
drug delivery systems for the manage-
ment of corneal neuropathic pain. Cornea.
2016;35:576–577.
Editors' note: The physicians have
no financial interests related to their
comments.
Contact information
Galor: agalor@med.miami.edu
Hayek: salim.hayek@uhhospitals.org
Sayegh: rony.sayegh@uhhospitals.org
(e.g., peripheral stimulation), and/or
cognitive behavioral therapy, with
more invasive approaches reserved
for the most severe pain," she said.
While the current procedure is
not something ophthalmologists
are trained to perform, there are
other approaches (e.g., oral medica-
tions such as gabapentinoids) that
ophthalmologists can start using
in appropriate patients immedi-
ately. More research will allow for
the development of new ideas to
treat corneal neuropathic pain, she
added. Dr. Galor encourages bring-
ing attention to corneal neuropath-
ic pain. "This is something that
ophthalmologists need to care about
more," she said. The results from the
treatments add to the theory that
some cases labeled as "dry eye" are
actually a manifestation of corneal
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Lateral X-ray view of the radio-opaque intrathecal catheter tip at the C1-C2 level, shown
within the dashed circle
Source (all): Rony Sayegh, MD, and Salim Hayek, MD
