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Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft
Mooren’s ulcer (MU) is a rare and painful peripheral corneal ulceration which occurs in the absence of any associated scleritis, and any detectable systemic disease. A 60-year-old male patient was referred to us with bilateral peripheral corneal ulceration. Best corrected visual acuity (BCVA) in bot...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487940/ https://www.ncbi.nlm.nih.gov/pubmed/26155087 http://dx.doi.org/10.1016/j.sjopt.2014.12.005 |
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author | Bhandari, Vipul Siddharthan, K.S. |
author_facet | Bhandari, Vipul Siddharthan, K.S. |
author_sort | Bhandari, Vipul |
collection | PubMed |
description | Mooren’s ulcer (MU) is a rare and painful peripheral corneal ulceration which occurs in the absence of any associated scleritis, and any detectable systemic disease. A 60-year-old male patient was referred to us with bilateral peripheral corneal ulceration. Best corrected visual acuity (BCVA) in both eyes was counting finger at one metre. The right eye showed a 180° thinning with perforation at 8 o’clock position. The left eye showed a 360° thinning with central contact lens type cornea. After complete blood analysis we started the patient on cyclophosphamide orally along with high doses of oral steroids. A crescentic excision of the thinned cornea and crescentic customised corneal graft with additional amniotic membrane graft (AMG) was done first for the right eye and a 360° peripheral lamellar corneal graft with additional AMG for the left eye. The BCVA of RE was 1/60 improving to 6/36 with plus ten aphakic glasses and LE was 3/60. Hand fashioned full thickness crescentic customised corneal graft with additional AMG and a peripheral 360° lamellar corneal graft with additional AMG in these cases are a novel approach to Mooren’s ulcer with gratifying results. |
format | Online Article Text |
id | pubmed-4487940 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-44879402015-07-07 Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft Bhandari, Vipul Siddharthan, K.S. Saudi J Ophthalmol Case Report Mooren’s ulcer (MU) is a rare and painful peripheral corneal ulceration which occurs in the absence of any associated scleritis, and any detectable systemic disease. A 60-year-old male patient was referred to us with bilateral peripheral corneal ulceration. Best corrected visual acuity (BCVA) in both eyes was counting finger at one metre. The right eye showed a 180° thinning with perforation at 8 o’clock position. The left eye showed a 360° thinning with central contact lens type cornea. After complete blood analysis we started the patient on cyclophosphamide orally along with high doses of oral steroids. A crescentic excision of the thinned cornea and crescentic customised corneal graft with additional amniotic membrane graft (AMG) was done first for the right eye and a 360° peripheral lamellar corneal graft with additional AMG for the left eye. The BCVA of RE was 1/60 improving to 6/36 with plus ten aphakic glasses and LE was 3/60. Hand fashioned full thickness crescentic customised corneal graft with additional AMG and a peripheral 360° lamellar corneal graft with additional AMG in these cases are a novel approach to Mooren’s ulcer with gratifying results. Elsevier 2015 2015-01-19 /pmc/articles/PMC4487940/ /pubmed/26155087 http://dx.doi.org/10.1016/j.sjopt.2014.12.005 Text en © 2015 Production and hosting by Elsevier B.V. on behalf of Saudi Ophthalmological Society, King Saud University. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Bhandari, Vipul Siddharthan, K.S. Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title | Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title_full | Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title_fullStr | Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title_full_unstemmed | Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title_short | Bilateral Mooren’s ulcer – Customised corneal graft with additional amniotic membrane graft |
title_sort | bilateral mooren’s ulcer – customised corneal graft with additional amniotic membrane graft |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4487940/ https://www.ncbi.nlm.nih.gov/pubmed/26155087 http://dx.doi.org/10.1016/j.sjopt.2014.12.005 |
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