Bilateral Mooren’s Ulcer Managed Conservatively - A Case Report

Background: Mooren’s ulcer is a rare type of peripheral ulcerative keratitis of unknown etiology.
Case: This is a case of a 76-year-old male who presented to the ophthalmology out-patient department with complaints of redness in both eyes. Visual acuity was 6/18 and 6/12 in the right and left eye respectively. Slit lamp examination of the both eyes revealed areas of peripheral corneal thinning in both eyes with clean floor, no slough and presence of limbitis. Anterior and posterior segments of both eyes were otherwise unremarkable. Investigations revealed no significant findings. A diagnosis of bilateral Mooren’s ulcer was made and the patient was managed conservatively with oral and topical steroids as well as topical immunosuppressants. Patient's symptoms improved and signs showed now worsening and steroids were gradually tapered.
Conclusion: Mooren’s ulcer is a diagnosis of exclusion. Once diagnosed, aggressive immunosuppressive medication should be started to retard progression and allow for better quality of life

Key words: bilateral mooren’s ulcer, peripheral ulcerative keratitis, cyclosporine eye drops