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Ocular Surface Disease·Westminster, Orange County

Neurotrophic Keratitis Treatment in Westminster, 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.

Westminster's urban air quality, combined with air conditioning in homes and workplaces, can exacerbate neurotrophic keratitis. We evaluate both the corneal condition and the environmental factors affecting your recovery.

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 Westminster 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?

Westminster residents balancing busy schedules should not ignore persistent symptoms. Early evaluation leads to more effective treatment:

  • 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 provide Westminster patients with effective treatments that work within their schedule and budget, with insurance coordination and flexible payment options:

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 Westminster Patients

Common questions from Westminster 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. We serve Westminster's diverse community with multilingual support and extended hours to make diagnostic evaluations accessible for all patients.
We offer comprehensive treatment options for neurotrophic keratitis including specialty contact lenses, medical therapy, and advanced procedures. We offer Westminster patients flexible treatment options with insurance coordination and payment plans to make care accessible regardless of budget.
Call (949) 323-3600 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. Our office is accessible for Westminster residents via major roads and public transit, with evening and Saturday hours available for working patients.
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 Westminster Residents

Corneal conditions like neurotrophic keratitis require specialized diagnostic equipment and clinical experience. Our practice is committed to serving Westminster's diverse community with accessible, high-quality care and multilingual support. 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 Westminster

Heart of Little Saigon, the largest Vietnamese community outside Vietnam

Population: 90,000+

Vietnamese familiesSmall business ownersImmigrantsCultural preservationEntrepreneurial community

Languages Spoken in Westminster

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

VietnameseEnglishSpanishCantoneseMandarin

Eye Health Priorities for Westminster

  • Affordable comprehensive eye exams
  • Wide insurance acceptance
  • Bilingual services available
  • Flexible scheduling options
  • Community health screenings

Conveniently Located Near Westminster Landmarks

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

Little Saigon
Asian Garden Mall (Phuoc Loc Tho)
Vietnam War Memorial
Westminster Mall
Bolsa Grande High School

Getting to Our Office from Westminster

Drive Time
20 min
Primary Route
22 Freeway
Distance
7.4 mi

Westminster patients typically reach our Santa Ana office via the 22 Freeway in approximately 20 minutes. Free on-site parking is available in our building.

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

Westminster Neighborhoods We Serve

  • Little Saigon
  • Midway City
  • Barber City

Zip codes: 92683

Why Westminster 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 Westminster

Open Monday through Friday 9 AM – 6 PM with easy access from Westminster 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 Westminster

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 Westminster

See why your neighbors in Westminster 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 Westminster and Orange County residents.

Call (949) 323-3600

We don't take Medi-Cal