@gocy Hello there. I'm sorry to hear you are not getting any help. Perhaps you should be seen by a neuro opthamologist, or a neurologist? Your current opthamologist should not have a problem referring you to a specialist if he or she can not properly diagnose.

There may be mitigating circumstances such as nerve pain that ironically came after your cataract surgery. It may unrelated to the surgery, but ruling out is the only way to tell. Neuritis or neuralgia can be helped with a nerve medication such as Gabapentin (Neurontin) or Pregabalin (Lyrica).

I experienced sharp nerve pains in my eyes and because I had had cataract surgeries and cornea transplants, I blamed it on that. when in fact I had developed small fiber neuropathy and central sensitization. The only way I got to the bottom of things was to keep persevering and being my own advocate.

Good luck with resolution. I'm sure it will all work out, and I'd love to hear an update. Will you keep me posted on your progress?

I’ve known from my research that I have corneal neuropathic pain which was triggered by cataract surgery 11 months ago. Have been to 7 doc to no avail, so I can relate to your experience. On Monday I finally found a specialist ophthalmologist who immediately recognized my symptoms based on two previous patients he had. According to him there are only 3 opthamologists in the country who are equipped to treat corneal neuropathic pain, 1 is in Boston & the other is in Miami. But he is using the protocol Dr. Hamrah developed to treat me, which includes lotemax eye drops and AST blood serum eye drops. Only a confocal microscope can confirm this diagnosis I believe and those are rare. I understand there is only 1 here in Atlanta. It is very new technology and CNP is only recently recognized as a disease. None of my previous docs could see anything wrong at all, even with MRIs etc. Small fiber neuropathy can cause this. Please don’t give up. Persist and find someone who knows about CNP. It is usually misdiagnosed as dry eye.