Dr. Meenakshi, Dr.Sudesh Kumar Arya, Dr. Amit Raj, Dr. Ravi Kant Bamotra
Aim: To highlight variable clinical presentation and management of 4 cases of atypical Mooren’s ulcer.
Methods: Patients presenting with bilateral peripheral ulcerative lesions were reviewed and managed medically or surgically according to their severity and response to treatment.
Results: 2 cases responded well to medical treatment while other 2 with aggressive course were managed surgically with conjunctival resection and amniotic membrane transplantation with cyanoacrylate glue application in areas of deep excavation. Systemic immunosuppressants were not required in any of the cases.
Conclusion: Atypical Mooren’s ulcer presents as a bilateral disease in young patients and can progress very rapidly to perforation. However, with timely and appropriate treatment, the ulcers can be managed and eyes can be salvaged, minimizing the visual loss.