Therapeutic Keratoplasty in Mooren's Ulcer

Abstract

This paper reports a case of Mooren's ulcer in which therapeutic keratoplasty resulted in arrest of the disease and preservation of useful vision. The medical and surgical measures employed without success are given. Two grafts were done. The reaction in the first graft is noteworthy in that a typical Mooren's-like ulcer developed in the graft itself and then progressed into the remaining uninvolved cornea. The indications for therapeutic keratoplasty are given. A brief résumé of some of the forms of treatment reported in the literature is included. Therapeutic keratoplasty has become a useful tool in the management of a variety of corneal pathologic processes. Its primary objective is the arrest of the disease. Therapeutic keratoplasty, usually, if not always, employs the lamellar technique. The procedure is safer than the penetrating type. Recently the uses of lamellar keratoplasty have been greatly extended not only in this country but particularly in Europe.