Skip to main content
NCBI home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 1983 Jul;67(7):475–478. doi: 10.1136/bjo.67.7.475

Conjunctival excision or lamellar scleral autograft in 38 Mooren's ulcers from Sierra Leone.

J S Stilma
PMCID: PMC1040097  PMID: 6860614

Abstract

Ulcus rodens corneae (Mooren's ulcer) was studied in 30 patients with 38 corneal ulcers. Although the clinical picture resembled Mooren's description, the West African type of ulcus rodens is different in that it has a higher prevalence, a tendency towards perforation, is most frequent in the age group 20-40 years, and is often associated with ankylostomiasis. Conjunctival excision with thermocoagulation gave some relief at the site of the ulcers, but recurrences at other places occurred in at least 52% of cases. Six eyes with a progressive iris prolapse and a flat anterior chamber were reconstructed with lamellar scleral autografts in the absence of donor corneas.

Full text

PDF
475

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adenis J. P., Bonnet Blanc J. M., Queroy M., Rammaert B., Loubet A. Etude immunopathologique dans un cas d'ulcere de Mooren. Résultats préliminaires. Bull Soc Ophtalmol Fr. 1977 Jul-Aug;77(7-8):719–721. [PubMed] [Google Scholar]
  2. Aviel E. Combined cryoapplications and peritomy in Mooren's ulcer. Br J Ophthalmol. 1972 Jan;56(1):48–51. doi: 10.1136/bjo.56.1.48. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Brown S. I., Mondino B. J. Penetrating keratoplasty in Mooren's ulcer. Am J Ophthalmol. 1980 Feb;89(2):255–258. doi: 10.1016/0002-9394(80)90120-8. [DOI] [PubMed] [Google Scholar]
  4. Brown S. I., Mondino B. J., Rabin B. S. Autoimmune phenomenon in Mooren's ulcer. Am J Ophthalmol. 1976 Dec;82(6):835–840. doi: 10.1016/0002-9394(76)90058-1. [DOI] [PubMed] [Google Scholar]
  5. Brown S. I. Mooren's ulcer. Histopathology and proteolytic enzymes of adjacent conjunctiva. Br J Ophthalmol. 1975 Nov;59(11):670–674. doi: 10.1136/bjo.59.11.670. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Brown S. I. Mooren's ulcer. Treatment by conjunctival excision. Br J Ophthalmol. 1975 Nov;59(11):675–682. doi: 10.1136/bjo.59.11.675. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Brown S. I. What is Mooren's ulcer? Trans Ophthalmol Soc U K. 1978 Sep;98(3):390–392. [PubMed] [Google Scholar]
  8. Chihara E., Nishi R., Asayama K., Tsukahara I. Treatment of Mooren's ulcer by conjunctival excision. Ophthalmologica. 1979;179(5):258–264. doi: 10.1159/000308904. [DOI] [PubMed] [Google Scholar]
  9. Christiansen J. M., Arentsen J. J. Surgical therapy of Mooren's ulcer: Report of two cases successfully treated. Ann Ophthalmol. 1975 Nov;7(11):1507–1511. [PubMed] [Google Scholar]
  10. Du Nian Z. u., Chen Jia Q. i., Gong Xian Ming, Xu Hong Tao [Mooren's ulcer treated by lamellar keratoplasty (author's transl)]. Nippon Ganka Gakkai Zasshi. 1979;83(10):1855–1860. [PubMed] [Google Scholar]
  11. Eiferman R. A., Hyndiuk R. A., Hensley G. T. Limbal immunopathology of Mooren's ulcer. Ann Ophthalmol. 1978 Sep;10(9):1203–1206. [PubMed] [Google Scholar]
  12. Eiferman R. A., Hyndiuk R. A. IgE in limbal conjunctiva in Mooren's ulcer. Can J Ophthalmol. 1977 Jul;12(3):234–236. [PubMed] [Google Scholar]
  13. Foster C. S. Immunosuppressive therapy for external ocular inflammatory disease. Ophthalmology. 1980 Feb;87(2):140–150. doi: 10.1016/s0161-6420(80)35272-x. [DOI] [PubMed] [Google Scholar]
  14. Foster C. S., Kenyon K. R., Greiner J., Greineder D. K., Friedland B., Allansmith M. R. The immunopathology of Mooren's ulcer. Am J Ophthalmol. 1979 Aug;88(2):149–159. doi: 10.1016/0002-9394(79)90459-8. [DOI] [PubMed] [Google Scholar]
  15. Gnandoss A. S. An analysis of ten cases of Mooren's ulcer. Indian J Ophthalmol. 1974 Jun;22(2):22–24. [PubMed] [Google Scholar]
  16. Joondeph H. C., McCarthy W. L., Jr, Rabb M., Constantaras A. A. Mooren's ulcer: two cases occurring after cataract extraction and treated with hydrophilic lens. Ann Ophthalmol. 1976 Feb;8(2):187–194. [PubMed] [Google Scholar]
  17. KURIAKOSE E. T. Mooren's ulcer. Etiology and treatment. Am J Ophthalmol. 1963 May;55:1064–1069. [PubMed] [Google Scholar]
  18. Kabuni M., Maertens K. L'ulcus rodens ou l'ulcere de Mooren en Republique du Zaire. Bull Soc Belge Ophtalmol. 1975;170:612–620. [PubMed] [Google Scholar]
  19. Lamba P. A., Sood N. N. L'ulcère de Mooren: une complication rare. Ann Ocul (Paris) 1969 Apr;202(4):331–336. [PubMed] [Google Scholar]
  20. Lemos E. Consideraçnes sôbre a úlcera de Mooren. Rev Bras Oftalmol. 1970 Sep;29(3):299–303. [PubMed] [Google Scholar]
  21. Majekodunmi A. A. Ecology of Mooren's ulcer in Nigeria. Doc Ophthalmol. 1980 Oct 15;49(2):211–219. doi: 10.1007/BF01886619. [DOI] [PubMed] [Google Scholar]
  22. Matsuo N., Okuda K., Matsuo H. [Electron microscopy of Mooren's ulcer. 1. Scanning electron microscopic observations]. Nihon Ganka Kiyo. 1972 Jan;23(1):5–14. [PubMed] [Google Scholar]
  23. Mondino B. J., Brown S. I., Mondzelewski J. P. Peripheral corneal ulcers with herpes zoster ophthalmicus. Am J Ophthalmol. 1978 Nov;86(5):611–614. doi: 10.1016/0002-9394(78)90176-9. [DOI] [PubMed] [Google Scholar]
  24. Mondino B. J., Brown S. I., Rabin B. S. Cellular immunity in Mooren's ulcer. Am J Ophthalmol. 1978 Jun;85(6):788–791. doi: 10.1016/s0002-9394(14)78106-1. [DOI] [PubMed] [Google Scholar]
  25. Pandey R. Topical cortisone in the treatment of Mooren's ulcer. J All India Ophthalmol Soc. 1969 Jun;17(3):114–114. [PubMed] [Google Scholar]
  26. Pau H. Die Therapie des Ulcus rodens Mooren. Klin Monbl Augenheilkd. 1978 Jul;173(1):62–68. [PubMed] [Google Scholar]
  27. Schaap O. L., Feltkamp T. E., Breebaart A. C. Circulating antibodies to corneal tissue in a patient suffering from Mooren's ulcer (ulcus rodens corneae). Clin Exp Immunol. 1969 Oct;5(4):365–370. [PMC free article] [PubMed] [Google Scholar]
  28. Szusterowska-Martinowa E. Przypadek wrzodu Moorena wyleczony zeszyciem szpary powiek. Klin Oczna. 1972;42(6):1415–1417. [PubMed] [Google Scholar]
  29. Trojan H. J. Ulcus rodens (Mooren)--Aspekte der Atiologie, des Verlaufs und der Therapie. Klin Monbl Augenheilkd. 1979 Feb;174(2):166–176. [PubMed] [Google Scholar]
  30. Urushima C. A., Kuroda N. Mooren's ulcer: a case report. Nippon Ganka Gakkai Zasshi. 1979 Jan;83(1):72–76. [PubMed] [Google Scholar]
  31. Wood T. O., Kaufman H. E. Mooren's ulcer. Am J Ophthalmol. 1971 Jan;71(1 Pt 2):417–422. doi: 10.1016/0002-9394(71)90420-x. [DOI] [PubMed] [Google Scholar]
  32. el-Mofty A. Bilateral simultaneous Mooren's ulcers with binasal and bitemporal pterygia. "A possible aetiological and pathological correlation". Bull Ophthalmol Soc Egypt. 1976;69(73):165–176. [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES