Surgical Management Of Mooren's Ulcer
Published 2025 - 43rd Congress of the ESCRS
Reference: FP23.12 | Type: Free paper | DOI: 10.82333/5115-9a12
Authors: Ivan Gabric* 1 , SAMUEL Arba Mosquera 2 , Karla Bodakoš 1 , Mateja Jagic 1 , Maja Bohač 1
1Refractive surgery,Eye Clinic Svjetlost,Zagreb,Croatia, 2R&D,Schwind Eye Tech Solutions,Kleinosteim,Germany
Purpose
To describe the indications and surgical options in the management of Mooren's ulcer
Setting
The management of Mooren's ulcer involves medical treatment which includes topical and systemic immunosupression and surgery is indicated for tectonic, therapeutic and optical reasons.
Methods
The indications and types of surgical management of Mooren's ulcer are described with case examples.
Results
There are tectonic, therapuetic and optical indications. The surgical options include amniotic membrane grafts, conjunctival resection/recession techniques, lamellar patch grafts, deep lamellar keratoplasty and penetrating keratoplasty and tissue adhesive with bandage lens. A technique of crescentic corneal lamellar patch graft is described. The harvesting of the lamellar graft was performed using a low cost technique without the use of an artifical chamber.
Conclusions
Mooren's ulcer is an autoimmune inflammatory peripheral ulcerative keratitis which requires medical management and surgical intervention when indicated. We describe a low cost technique of harvesting the lamellar patch graft.