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Mooren’s ulcer
Presented by:- Gauri Shankar Saini
MBBS
Introduction
• Chronic serpiginous or rodent ulcer
• It is a severe inflammatory peripheral ulcerative keratitis
Etiology
• Exact not known
• Autoimmune disease
Clinical features
• Benign:- unilateral, relative slow progress,in elderly white race
• Virulent type:- progressive, bilateral,,in young African, high risk of scleral
involvement
1. Symptoms:- severe pain, photophobia,lacrimation, defective vision
2. Signs:-
• Superficial ulcer :- start at corneal margin , patches of grey infiltrate to
shallow furrow over the whole cornea
• Peripheral ulcer:- forms whitish overhanging edge vascularized base,
• In end stage cornea become thin and conjuctivised
• Ulcer rarely perforates and sclera remain involved
Treatment
• Topical corticosteroid
• Cyclosporin
• Soft contact lenses
• Corneal graft

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mooren's ulcer.pptx

  • 1. Mooren’s ulcer Presented by:- Gauri Shankar Saini MBBS
  • 2. Introduction • Chronic serpiginous or rodent ulcer • It is a severe inflammatory peripheral ulcerative keratitis
  • 3. Etiology • Exact not known • Autoimmune disease
  • 4. Clinical features • Benign:- unilateral, relative slow progress,in elderly white race • Virulent type:- progressive, bilateral,,in young African, high risk of scleral involvement 1. Symptoms:- severe pain, photophobia,lacrimation, defective vision 2. Signs:- • Superficial ulcer :- start at corneal margin , patches of grey infiltrate to shallow furrow over the whole cornea • Peripheral ulcer:- forms whitish overhanging edge vascularized base, • In end stage cornea become thin and conjuctivised • Ulcer rarely perforates and sclera remain involved
  • 5. Treatment • Topical corticosteroid • Cyclosporin • Soft contact lenses • Corneal graft