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. 2000 Nov;84(11):1244-9.
doi: 10.1136/bjo.84.11.1244.

Mooren's ulcer in China: a study of clinical characteristics and treatment

J Chen  1 , H Xie, Z Wang, B Yang, Z Liu, L Chen, X Gong, Y Lin
Affiliations

Mooren's ulcer in China: a study of clinical characteristics and treatment

J Chen et al. Br J Ophthalmol. 2000 Nov.

Abstract

Aims: To investigate the clinical characteristics and compare the effects of several methods of treatment of Mooren's corneal ulcer.

Methods: 550 consecutive cases of Mooren's corneal ulcer were analysed in patients, including age, sex, laterality of eye, ulcer location, perforative rate, cure rate of surgeries, recurrent rate, the effects of conjunctiva excision, lamellar keratoplasty (LKP), and LKP plus 1% cyclosporin A eye drops.

Results: The average age of onset was 48.4 years of age. The ratio of males to females was 1:0. 74. 165 (30%) cases had the disease bilaterally, of which 52 (31.5%) occurred in the young age group and 113 (68.5%) in the old age group. Ulcers of 501 eyes (70.1%) were located at the limbus of the palpebral fissure. The perforation rate was 13.3%, with perforation of 41 eyes (43.2%) occurring in the young age group and 54 (56.8%) in the old age group. Postoperative recurrence rate was 25.6%. The cure rate of the first procedure of LKP plus 1% cyclosporin A eye drops was 73.7%. The final cure rate was 95.6%, and the postoperative preservation rate of the eye globe was 99.7%.

Conclusion: This primary study provided the clinical characteristics of patients with Mooren's corneal ulcer in China. LKP plus 1% cyclosporin A eye drops was an effective treatment.

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Figures

Figure 1
Figure 1
Mooren's ulcer (slit lamp microscopic photograph).
Figure 2
Figure 2
Mooren's ulcer with a limbal perforation and iris herniation (slit lamp microscopic photograph).
Figure 3
Figure 3
Lymphocyte infiltration and new blood vessels of the cornea near Mooren's ulcer (haematoxylin and eosin, original magnification ×20).
Figure 4
Figure 4
Lymphocyte infiltration, blood vessel dilatation, and oedema of the adjacent conjunctiva of Mooren's ulcer (haematoxylin and eosin, original magnification ×20).
Figure 5
Figure 5
Crescent shaped lamellar keratoplasty (slit lamp microscopic photograph).
Figure 6
Figure 6
Doughnut shaped lamellar keratoplasty (slit lamp microscopic photograph).
Figure 7
Figure 7
Full lamellar keratoplasty (slit lamp microscopic photograph).
Figure 8
Figure 8
Double lamellar keratoplasty (slit lamp microscopic photograph, note inner graft with interrupted sutures).
See this image and copyright information in PMC

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