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. 2009 Nov 2:2:180.
doi: 10.1186/1757-1626-2-180.

Corneoscleral graft in Mooren's ulcer: a case report

Mauro Cellini  1 , Michela Fresina, Ernesto Strobbe, Corrado Gizzi, Emilio C Campos
Affiliations

Corneoscleral graft in Mooren's ulcer: a case report

Mauro Cellini et al. Cases J. .

Abstract

Introduction: Mooren's ulcer is a rare disorder of unknown etiology that is refractory to treatment. It can affect not just the cornea but also the scleral tissue and can involve both eyes.

Case presentation: We report a case of a 74-year-old man with a history of bilateral and malignant Mooren's ulcer. The patient had undergone an exenteratio bulbi of the left eye because of the perforation of a Mooren's corneal ulcer. The perforated Mooren's corneal ulcer also presented in the right eye and involved the adjacent scleral tissue. It was decided to perform a corneal-scleral graft to preserve the anatomical integrity of the eye.

Conclusion: This report highlights how a corneal-scleral graft followed by systemic and local immunosuppressive treatment should be considered in monocular patients with malignant Mooren's ulcer where there is serious damage to the corneal and scleral tissue.

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Figures

Figure 1
Figure 1
Perforated Mooren's ulcer.
Figure 2
Figure 2
Corneoscleral graft after six months.
See this image and copyright information in PMC

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References

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