Atypical Bilateral Mooren Ulcer Following Small Incision Lenticule Extraction (SMILE)
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 11
Abstract
A 38-year-old Malay gentleman presented with 1 year history of bilateral eye discomfort and redness with deteriorating vision. He underwent myopic laser refractive surgery and had history of ocular Steven Johnsons syndrome (SJS). He admitted to use regular topical steroid to relieve the symptoms. The visual acuity was 6/24 in the right eye and counting finger in the left eye. There was peripheral corneal melt and thinning which is worse on the left eye and associated with perforation. All investigations to rule out causes of peripheral ulcerative keratitis were negative, and diagnosis of Mooren ulcer was made. A lamellar keratoplasty was performed to seal the leak on left eye, and he was initiated on systemic immunosuppression. At present, his corneal melt has stabilizes and his vision remains at 6/24 in the right eye and 6/60 in the left eye. Keywords: Mooren ulcer, laser refractive surgery, Steven Johnson’s syndrome, ulcerative keratitis, lamellar keratoplasty
Authors and Affiliations
Nurul Ain Shahrudin, Wan Haslina Wan Abdul Halim, Aida Zairani Mohd Zahidin, Umi Kalthum Md Noh, Norshamsiah Md Din
Keywords
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