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Corneoscleral graft in Mooren's ulcer: a case report
Mauro Cellini1, Michela Fresina, Ernesto Strobbe
1Department of Surgery Science, Anesthesiology University of Bologna, Ophthalmology Service, Via Palagi 9, 40138 Bologna, Italy. mauro.cellini@unibo.it
Introduction:
Mooren's ulcer is a rare disorder of unknown etiology that is refractory to treatment. It can affect not just the cornea but also the scleral tissue and can involve both eyes.
Case Presentation:
We report a case of a 74-year-old man with a history of bilateral and malignant Mooren's ulcer. The patient had undergone an exenteratio bulbi of the left eye because of the perforation of a Mooren's corneal ulcer. The perforated Mooren's corneal ulcer also presented in the right eye and involved the adjacent scleral tissue. It was decided to perform a corneal-scleral graft to preserve the anatomical integrity of the eye.
Conclusion:
This report highlights how a corneal-scleral graft followed by systemic and local immunosuppressive treatment should be considered in monocular patients with malignant Mooren's ulcer where there is serious damage to the corneal and scleral tissue.
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