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Vol. 91. Issue 7.
Pages 337-340 (July 2016)
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Vol. 91. Issue 7.
Pages 337-340 (July 2016)
Short communication
Mooren's ulcer: 30 years of follow-up
Úlcera de Mooren: 30 años de seguimiento
Visits
372
F. Vilaplana
Corresponding author
ferranvilaplanamira@gmail.com

Corresponding author.
, J. Temprano, J.L. Riquelme, J. Nadal, J. Barraquer
Centro de Oftalmología Barraquer, Institut Universitari Barraquer, Barcelona, Spain
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Abstract
Case report

A 33-year-old Caucasian female presented with epiphora, ocular pain, and foreign body sensation in both eyes for one month. Examination revealed bilateral peripheral corneal ulcers. The patient had been treated with immunomodulators, and she was treated in the left eye with peripheral semi-circular keratoplasty, penetrating keratoplasty, conjunctival–corneal–scleroplasty, buccal mucosal graft, tibial osteo-keratoprosthesis and finally, retinal detachment.

Discussion

Mooren's ulcer is an immunological corneal disease. This lesion must be treated initially with immunomodulators. Surgical treatment should be considered when a risk of corneal perforation is present, when the perforation appears, or under acute necrosis.

Keywords:
Mooren's ulcer
Immunosuppression
Corneal perforation
Keratoplasty
Osteo-keratoprosthesis
Retinal detachment
Vitrectomy
Resumen
Caso clínico

Mujer de 33 años de raza blanca que consultó por sensación de cuerpo extraño, epífora y dolor intenso, de un mes de evolución, en ambos ojos (AO). El examen biomicroscópico objetivó una úlcera corneal periférica bilateral. Precisó tratamiento con inmunomoduladores y fue intervenida en el ojo izquierdo de queratoplastia en corona semi-circular, queratoplastia penetrante, conjuntivo-córneo-escleroplastia, recubrimiento de mucosa bucal, osteo-queratoprótesis tibial y, finalmente, de desprendimiento de retina.

Discusión

La úlcera de Mooren es una afección corneal inmunológica que requiere tratamiento inmunomodulador, reservándose el quirúrgico ante el riesgo inminente de perforación, cuando esta ha ocurrido, o en los casos de necrosis aguda.

Palabras clave:
Úlcera de Mooren
Inmunosupresión
Perforación corneal
Queratoplastia
Osteo-queratoprótesis
Desprendimiento de retina
Vitrectomía

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