BILATERAL MOOREN'S ULCER: A CASE REPORT
Published 2025
- 29th ESCRS Winter Meeting
Reference: PO262
| Type: Free Paper
| DOI:
10.82333/tnya-2n09
Authors:
Sara Saidi* 1
, Hassan Moutei 2
, ahmed bennis 2
, Fouad Chraibi 2
, Meriem Abdellaoui 2
, Idriss Bennatiya Andaloussi 2
1Ophtalmology,Hassan II University Hospital of FEZ ,Fez,Morocco;Ophtalmology,Military Teaching Hospital Mohamed V of Rabat ,Rabat,Morocco;Ophtalmology,Intercommunal Center of Villeneuve St Georges , Ile de France , Paris,Ile de France,France, 2Ophtalmology,Hassan II University Hospital of FEZ ,Fez,Morocco
Purpose
Mooren's ulcer is defined as a peripheral ulcerative keratitis of idiopathic origin that begins at the limbus of the cornea and extends circumferentially and centrally. It most often affects a single eye, and bilateral involvement is rather rare. An immune origin is often implicated in its pathophysiology. Therapeutic management is primarily medical, especially for mild forms, using local corticosteroids, but requires medical and surgical intervention in severe and serious cases. The purpose of our work is to report a rare case of bilateral Mooren's Ulcer and to define its clinical and therapeutic aspects.
Setting
Our case was diagnosed, treated, and followed up in the ophthalmology department of the Hassan II University Hospital Center of Fez.
Methods
We report the case of a 46-year-old female patient with no notable medical history who presented to the ophthalmology emergency department with a painful red eye and decreased visual acuity. Clinical examination revealed a visual acuity of 3/10 in the right eye, with an anterior segment finding of a 6 mm peripheral, excavating, circumferential corneal ulcer located temporally, without a healthy corneal interval, and diffuse conjunctival hyperemia. The posterior segment examination was normal. In the left eye, visual acuity was 7/10, with an anterior segment finding of a 3 mm peripheral, excavating, circumferential corneal ulcer located temporally, without a healthy corneal interval, and diffuse conjunctival hyperemia, with a normal posterior segment examination.
Results
The ulcer was treated with antibiotics and healing agents, but without improvement. An etiological assessment did not reveal any other cause. The introduction of topical corticosteroids led to improvement, but symptoms recurred upon discontinuation of the treatment. Systemic corticosteroid therapy was initiated, resulting in symptom improvement but without complete healing, leading to the use of immunosuppressive medical treatment and surgical intervention with amniotic membrane.
Conclusion
Mooren's ulcer is a rare ocular condition whose diagnosis remains one of exclusion. It affects functional prognosis, thus requiring appropriate and early therapeutic management.