Bilateral Mooren Ulcer: A Difficult Care Approach

Aims: Bilateral Mooren’s Ulcer Following Pterygium Surgery: Challenges in Management.

Study Design: Observational case report.

Case: We present the case of a 45-year-old patient who presented with decreased visual acuity, and in whom ophthalmological examination revealed bilateral peripheral ulcerative keratitis. The search for a systemic disease was negative and the diagnosis of bilateral moorens ulcer was established.

The patient was treated with topical and systemic corticosteroids in addition to local cyclosporine and conjunctival resection. After four weeks of treatment, a corneal perforation of the right eye occurred, and patient underwent an amniotic membrane graft, in addition to immunosuppressive medical treatment.

Discussion and Conclusion: Mooren’s ulcer is known to be more severe and more likely to be bilateral in young patients. Several treatment strategies are available; Unfortunately, there is no definitive treatment to ensure complete resolution or prevent recurrences in cases of Mooren’s ulcer.