Home > Neurotrophic Keratitis > Quiz: Topical Insulin for Persistent Corneal Epithelial Defects Neurotrophic Keratitis Quiz: Topical Insulin for Persistent Corneal Epithelial Defects Ophthalmology 360 According to current evidence, where does topical insulin fit within the therapeutic pathway for PED?As first-line therapy before conventional treatmentAfter conventional therapy and before autologous serumOnly after failure of surgical interventionAs a replacement for all other medical therapiesWhat outcome has been observed in multiple studies evaluating topical insulin for PED?They delay epithelial healing compared with conventional therapyThey provide similar results to autologous serum in all casesThey may promote faster and more consistent epithelial healingThey are only effective when combined with surgical therapyWhat is the typical next step for patients who do not respond to topical insulin therapy?Escalate to surgical interventions such as amniotic membrane transplantationSwitch to higher-dose insulin eye dropsContinue insulin indefinitelyStop all topical therapy Share Related Content Retina Care 360 Quiz: Mental health risks linked to age-related eye disease Dry Eye Quiz: Understanding meibomian gland dysfunction and its management Dry Eye Quiz: Emerging Therapies in DED Cornea and External Disease Quiz: Refractive Surgery in Patients With Diabetes Retinopathy of Prematurity Quiz: ROP Pharmacologic Strategies Polls & Quizzes Quiz: Teaching points from patient-reported dry eye behavior data Share