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Ocular Surface Disease·Los Alamitos, Orange County

Neurotrophic Keratitis Treatment in Los Alamitos, California

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated April 2026

Neurotrophic keratitis is a degenerative corneal disease caused by damage to the trigeminal nerve (cranial nerve V), which provides sensory innervation to the cornea. Without normal nerve function, the cornea loses its ability to heal and maintain itself, leading to persistent epithelial defects, corneal ulceration, and potential perforation — often with minimal pain because the cornea has reduced sensation. Common causes include herpes simplex or zoster keratitis, diabetes, acoustic neuroma surgery, and trigeminal neuralgia procedures. Scleral lenses protect the corneal surface and promote healing by maintaining constant hydration.

Los Alamitos residents with neurotrophic keratitis often delay care due to busy schedules. Our efficient diagnostic protocols mean accurate corneal assessment and treatment planning in a single thorough visit.

Dr. Bonakdar on Neurotrophic Keratitis

Direct Answers from Dr. Bonakdar

Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert neurotrophic keratitis diagnosis and treatment for patients in Los Alamitos and throughout Orange County. With over 35 years of clinical experience and advanced diagnostic technology, each patient receives a personalized treatment plan based on their specific condition severity and lifestyle needs.

What is Neurotrophic Keratitis?

Neurotrophic keratitis is a degenerative corneal disease caused by damage to the trigeminal nerve (cranial nerve V), which provides sensory innervation to the cornea. Without normal nerve function, the cornea loses its ability to heal and maintain itself, leading to persistent epithelial defects, corneal ulceration, and potential perforation — often with minimal pain because the cornea has reduced sensation. Common causes include herpes simplex or zoster keratitis, diabetes, acoustic neuroma surgery, and trigeminal neuralgia procedures. Scleral lenses protect the corneal surface and promote healing by maintaining constant hydration.

How is Neurotrophic Keratitis treated?

Treatment options include Scleral Contact Lens Fitting, Cenegermin (Oxervate) — recombinant nerve growth factor, Amniotic Membrane Transplant, Autologous Serum Eye Drops. The best approach depends on your specific diagnosis, severity, and lifestyle needs.

What are the symptoms of Neurotrophic Keratitis?

Common symptoms include Persistent corneal epithelial defect that does not heal, Reduced or absent corneal sensation, Red eye with minimal pain (paradoxically), Blurred vision, History of herpes eye infection, diabetes, or neurological surgery. If you experience any of these, a comprehensive eye examination can determine the cause.

What are the symptoms of Neurotrophic Keratitis?

If you or a family member in Los Alamitos experience any of the following symptoms, scheduling an evaluation sooner rather than later leads to better outcomes:

  • Persistent corneal epithelial defect that does not heal
  • Reduced or absent corneal sensation
  • Red eye with minimal pain (paradoxically)
  • Blurred vision
  • History of herpes eye infection, diabetes, or neurological surgery
  • Corneal thinning or ulceration

How is Neurotrophic Keratitis treated?

For Los Alamitos residents, we design treatment plans that balance effectiveness with convenience—minimizing follow-up visits while ensuring optimal outcomes:

Scleral Contact Lens Fitting
Cenegermin (Oxervate) — recombinant nerve growth factor
Amniotic Membrane Transplant
Autologous Serum Eye Drops
Tarsorrhaphy (partial eyelid closure)
Bandage Contact Lenses
Preservative-Free Artificial Tears

Neurotrophic Keratitis FAQs for Los Alamitos Patients

Common questions from Los Alamitos patients about our eye care services

At EyeCare Center of Orange County, we diagnose neurotrophic keratitis using advanced diagnostic equipment including corneal topography, OCT imaging, and comprehensive eye examinations. Los Alamitos residents appreciate our efficient diagnostic process—thorough evaluation and results discussion in a single appointment that respects your schedule.
We offer comprehensive treatment options for neurotrophic keratitis including specialty contact lenses, medical therapy, and advanced procedures. For Los Alamitos commuters, we prioritize treatments that provide stable vision for driving and work, with follow-up schedules that minimize time away from your routine.
Call (949) 323-3600 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Conveniently located for Los Alamitos residents with ample parking and easy access, typically within a 15-25 minute drive from most neighborhoods.
We accept most major vision and medical insurance plans including VSP, EyeMed, and Medicare for neurotrophic keratitis diagnosis and treatment. We don't take Medi-Cal. We verify your coverage and discuss costs before any procedures.

Have more questions? Call us at (949) 323-3600

We don't take Medi-Cal

Neurotrophic Keratitis Care for Los Alamitos Residents

Corneal conditions like neurotrophic keratitis require specialized diagnostic equipment and clinical experience. Los Alamitos families trust our practice because we combine modern technology with the personal attention of a neighborhood eye doctor. Our practice uses high-resolution corneal topography and anterior segment OCT to evaluate the cornea's structure layer by layer. This precision is essential for neurotrophic keratitis, where treatment decisions depend on accurate staging and documentation of changes over time. We develop individualized treatment plans that may include medicated drops, specialty lenses, or surgical referral when indicated.

About Los Alamitos

Small family-oriented city with top-rated schools and military presence

Population: 12,000+

FamiliesMilitary personnelSchool-focused communityLong-term residents

Languages Spoken in Los Alamitos

Our practice serves the diverse Los Alamitos community. We provide care to patients who speak:

EnglishSpanishKorean

Eye Health Priorities for Los Alamitos

  • Whole-family eye care
  • School vision screenings
  • Contact lens fittings for all ages
  • Progressive lens consultations
  • Annual comprehensive exams

Conveniently Located Near Los Alamitos Landmarks

Our Orange County practice is easily accessible for Los Alamitos patients living near:

Los Alamitos Race Course
Los Alamitos Joint Forces Training Base
Little Cottonwood Park
Los Alamitos High School
Los Alamitos Medical Center

Getting to Our Office from Los Alamitos

Drive Time
25 min
Primary Route
5 Freeway
Distance
12.5 mi

Los Alamitos patients typically reach our Santa Ana office via the 5 Freeway in approximately 25 minutes. Free on-site parking is available in our building.

801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get Directions

Los Alamitos Neighborhoods We Serve

  • Rossmoor
  • Old Town Los Alamitos

Zip codes: 90720, 90721

Why Los Alamitos Patients Choose EyeCare Center for Neurotrophic Keratitis

35+ Years of Experience

Dr. Alexander Bonakdar has served Orange County since 1991, with extensive experience treating neurotrophic keratitis.

Advanced Diagnostics

OCT imaging, corneal topography, visual field testing, and retinal photography for precise diagnosis.

Insurance Accepted

VSP, EyeMed, Medicare, and most major vision and medical insurance plans. We do not accept Medi-Cal.

Convenient for Los Alamitos

Open Monday through Friday 9 AM – 6 PM with easy access from Los Alamitos and surrounding communities.

Dr. Alexander Bonakdar, O.D. — Optometrist at EyeCare Center of Orange County specializing in keratoconus and scleral lenses
Dr. Alexander Bonakdar, O.D. — California-licensed Optometrist with 35+ years of specialty contact lens practice. Graduate of the Illinois College of Optometry.

Your Neurotrophic Keratitis Specialist in Los Alamitos

Dr. Alexander Bonakdar is a California-licensed Optometrist (O.D.) with over 35 years of experience treating neurotrophic keratitis and complex eye conditions. A graduate of the Illinois College of Optometry, he has helped over 10,000 patients achieve and maintain clear vision.

35+ Years10,000+ PatientsIllinois College of Optometry
Learn more about Dr. Bonakdar →

Patient Stories from Los Alamitos

See why your neighbors in Los Alamitos trust us with their vision.

Comprehensive Exam

"Not a fan of getting my eyes checked but the receptionist and Dr. were very nice and eased my anxiety."

emily garcia
Santa Ana, CA

Comprehensive Exam

"I came back for my yearly visit and had a great experience as always."

Eduardo arias
Santa Ana, CA

Schedule Your Neurotrophic Keratitis Consultation

Expert diagnosis and treatment for Los Alamitos and Orange County residents.

Call (949) 323-3600

We don't take Medi-Cal