Cataract surgery in patients with Mooren's ulcer.
OBJECTIVE
To assess the outcome of cataract surgery in patients with Mooren's ulcer.


METHODS
Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India.


METHODS
In this interventional case series, the medical records of 6 patients with Mooren's ulcer who had cataract surgery were retrospectively reviewed. Five patients had uneventful extracapsular cataract extraction with intraocular lens (IOL) implantation, and 1 patient had phacoemulsification with IOL implantation. The visual acuity and postoperative course of the patients were reviewed. The patients were followed to detect, and if present treat, a recurrence of Mooren's ulcer.


RESULTS
The follow-up ranged from 3 months to 2 years. The preoperative visual acuity ranged from 20/60 to hand movements. Postoperatively, the best corrected visual acuity improved to 20/20 to counting fingers close to face. Mooren's ulcer recurred 8 months after surgery in 1 patient and was treated appropriately.


CONCLUSIONS
Results indicate that cataract surgery can be safe in patients with Mooren's ulcer and visually significant cataract. Performing surgery in a quiet, noninflamed eye improves the prognosis in these cases.
Sangwan
Virender S
VS
Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India. vsangwan@lvpei.org
Surender
Prathiba
P
Burman
Sanghamitra
S
D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction; D003320:Corneal Ulcer / Q000150:complications* / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D014792:Visual Acuity
D005938:Glucocorticoids