Bilateral Mooren's ulcer in a child secondary to helminthic infestation of the gastrointestinal tract.
To report an unusual association of bilateral Mooren's ulcer in a child with helminthic infestation of gastrointestinal tract. A 6-year-old female presented with redness, watering and photophobia in left eye for 2 months and in right eye for 2 weeks. BCVA was 20/200 in OD and 20/400 OS. Superior peripheral corneal ulcer of 8 × 2 mm was present in the right eye and 8 × 3 mm perforated limbal corneal ulcer with staphyloma was present in the left eye. Hemogram revealed microcytic hypochromic anemia, eosinophilia and elevated ESR. No organism was isolated on corneal scraping. Stool examination revealed presence of Ancylostoma duodenale. Therapy included fortified topical antibiotics, cycloplegics, lubricants and oral albendazole. Conjunctival recession and crescentic therapeutic penetrating keratoplasty was done in OD and OS respectively. At 18 months follow up, there was no recurrence in any of the eyes. Bilateral Mooren's ulcer may be present with gastrointestinal hookworm infestation. Prompt and appropriate management may provide optimal therapeutic success.
Dr R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Prakashchand
P
Agarwal
Digvijay
D
Singh
Gautam
G
Sinha
Namrata
N
Sharma
Jeewan Singh
JS
Titiyal
D000722:Ancylostoma / Q000302:isolation & purification*; D000724:Ancylostomiasis / Q000175:diagnosis / Q000469:parasitology*; D000818:Animals; D002648:Child; D003320:Corneal Ulcer / Q000175:diagnosis / Q000469:parasitology*; D003937:Diagnosis, Differential; D015822:Eye Infections, Parasitic / Q000175:diagnosis / Q000469:parasitology*; D005260:Female; D041981:Gastrointestinal Tract / Q000469:parasitology*; D006725:Hookworm Infections / Q000175:diagnosis / Q000469:parasitology*; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000150:complications* / Q000469:parasitology