Neurotrophic Keratitis Treatment in Mission Viejo, California
Neurotrophic Keratitis — At a Glance
Severity & Type
When to See a Doctor
Schedule a comprehensive eye exam if you experience persistent symptoms.
Key Symptoms
- 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
Treatment Options
- Scleral Contact Lens Fitting
- Cenegermin (Oxervate) — recombinant nerve growth factor
- Amniotic Membrane Transplant
- Autologous Serum Eye Drops
- Tarsorrhaphy (partial eyelid closure)
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.
Pediatric corneal conditions like neurotrophic keratitis require specialized attention. Mission Viejo parents should watch for squinting, frequent eye rubbing, and light sensitivity—early signs that warrant prompt evaluation.
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 Mission Viejo 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?
Parents and families in Mission Viejo should watch for these symptoms in both children and adults, as early detection significantly improves treatment 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?
We work with Mission Viejo families to select treatments that fit both the patient's needs and the family's schedule, with clear instructions parents and patients can follow at home:
Neurotrophic Keratitis FAQs for Mission Viejo Patients
Common questions from Mission Viejo patients about our eye care services
Have more questions? Call us at (949) 323-3600
We don't take Medi-Cal
Neurotrophic Keratitis Care for Mission Viejo Residents
Corneal conditions like neurotrophic keratitis require specialized diagnostic equipment and clinical experience. We serve Mission Viejo families by making appointments efficient and educational, ensuring parents understand their child's diagnosis and every patient leaves with a clear care plan. 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 Mission Viejo
Largest master-planned community in the US with exceptional schools and safety
Population: 94,000+
Languages Spoken in Mission Viejo
Our practice serves the diverse Mission Viejo community. We provide care to patients who speak:
Eye Health Priorities for Mission Viejo
- Pediatric eye exams and vision screening
- Myopia control and management
- Sports vision for young athletes
- Digital eye strain from screens
- Learning-related vision problems
Conveniently Located Near Mission Viejo Landmarks
Our Orange County practice is easily accessible for Mission Viejo patients living near:
Getting to Our Office from Mission Viejo
Mission Viejo patients typically reach our Santa Ana office via the 5 Freeway in approximately 30 minutes. Free on-site parking is available in our building.
801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get DirectionsMission Viejo Neighborhoods We Serve
- Lake Mission Viejo
- Mission Viejo High School Area
- Oso Creek
Zip codes: 92691, 92692, 92694
Why Mission Viejo 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 Mission Viejo
Open Monday through Friday 9 AM – 6 PM with easy access from Mission Viejo and surrounding communities.
Your Neurotrophic Keratitis Specialist in Mission Viejo
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.
Patient Stories from Mission Viejo
See why your neighbors in Mission Viejo 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."
Comprehensive Exam
"I came back for my yearly visit and had a great experience as always."
Schedule Your Neurotrophic Keratitis Consultation
Expert diagnosis and treatment for Mission Viejo and Orange County residents.
Related Conditions
Also serving nearby Orange County cities
- Neurotrophic Keratitis in El Toro
- Neurotrophic Keratitis in Nellie Gail Ranch
- Neurotrophic Keratitis in Laguna Hills
- Neurotrophic Keratitis in Laguna Woods
- Neurotrophic Keratitis in Lake Forest
- Neurotrophic Keratitis in Aliso Viejo
- Neurotrophic Keratitis in Ladera Ranch
- Neurotrophic Keratitis in Las Flores