Contact Lens–Based Management of Neurotrophic Keratopathy in Rhombencephalosynapsis Without Alopecia (a Gómez-López-Hernández Syndrome Variant)

A child with rhombencephalosynapsis, part of the Gómez-López-Hernández spectrum, developed bilateral corneal hypoesthesia and neurotrophic keratopathy. Recurrent epithelial defects and progressive corneal haze occurred despite conservative therapy with lubrication, serum drops, and topical treatment. A persistent epithelial defect healed rapidly after application of a bandage contact lens. This case highlights the importance of early ophthalmologic surveillance and corneal sensitivity assessment in children with rhombencephalosynapsis. Bandage contact lenses are a safe and effective treatment option in pediatric neurotrophic keratopathy, promoting epithelial healing and helping prevent corneal scarring and vision loss.