Treatment of severe dry eye following acoustic neuroma surgery with eyelid androgen gel application

The recalcitrant DED secondary to an acoustic neuroma and subsequent microsurgery resection was due to injury of the nervus intermedius, resulting in aqueous deficient DED. Topical testosterone treatment on the eyelids ameliorated the DED by improving symptoms and restoring some clinical signs to near-normal levels, suggesting that this may potentially be a new treatment approach in aqueous deficient dry eye.