Dr.Aditi Dubey
Aim: To report a case of mooren’s ulcer with atypical presentation. Case report – A 60yr male, with OS Pain, decreased vision, Watering, Photophobia X 4 days. He underwent patch graft in OS, for 4*4mm deep tissue loss at 9 Oclock, 10 months back. OS VA- CF-2 Ft, lid oedema, conjunctival and cilliary congestion, Corneal Shape and contour distorted with peripheral thinning, loss of tissue with overhanging edge from 1-6 o’clock. Graft abscess with dense stromal infilterates. AC -Hypopyon 4mm. OD within physiological limits. Patient was put on systemic antibiotics, fortified antibiotics and other supportive treatment.Patient responded well to medical treatment and was symptomatically & clinically better. Conclusion: In this case corneal infection predisposed to moorens ulcer in post keratoplasty patient with the involvement of graft. The mainstay of treatment is not only to control infection but inflammation also, as it can cause progressive necrosis, leading to perforation and blindness.
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