title: Bilateral Mooren's ulcer - Customised corneal graft with additional amniotic membrane graft.
abstract: 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.
authors.affiliation: Department of Cornea, Sankara Eye Centre, Coimbatore, India.
authors.forename: Vipul
authors.initials: V
authors.lastname: Bhandari
authors.affiliation: Department of Cornea, Sankara Eye Centre, Coimbatore, India.
authors.forename: K S
authors.initials: KS
authors.lastname: Siddharthan
keywords: Bilateral; Mooren’s ulcer; Perforation