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Ocular Surface Disease·Fullerton, Orange County

Neurotrophic Keratitis Treatment in Fullerton, 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.

Fullerton'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 Fullerton 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?

Fullerton 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 Fullerton 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 Fullerton Patients

Common questions from Fullerton 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 Fullerton'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 Fullerton 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 Fullerton 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 Fullerton Residents

Corneal conditions like neurotrophic keratitis require specialized diagnostic equipment and clinical experience. Our practice is committed to serving Fullerton'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 Fullerton

Vibrant college town with diverse population and historic downtown

Population: 140,000+

University studentsYoung professionalsHispanic familiesArtists and musicians

Languages Spoken in Fullerton

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

EnglishSpanishKoreanVietnamese

Eye Health Priorities for Fullerton

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

Conveniently Located Near Fullerton Landmarks

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

Cal State Fullerton (CSUF)
Downtown Fullerton
Fullerton College
Muckenthaler Cultural Center
Fullerton Arboretum
St. Jude Medical Center

Getting to Our Office from Fullerton

Drive Time
20 min
Primary Route
5 Freeway
Distance
9.2 mi

Fullerton patients typically reach our Santa Ana office via the 5 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

Fullerton Neighborhoods We Serve

  • Downtown Fullerton
  • Sunny Hills
  • West Coyote Hills
  • Amerige Heights

Zip codes: 92831, 92832, 92833, 92834, 92835, 92836, 92837, 92838

Why Fullerton 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 Fullerton

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

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 Fullerton

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

Call (949) 323-3600

We don't take Medi-Cal