Corneoscleral patch graft in a case of mooren's ulcer: A case report

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. We report a case of a 25-year-old young male with a history of bilateral and malignant Mooren's ulcer. The patient had lost left eye to perforation of mooren's ulcer before 3 years. The perforated Mooren's corneal ulcer also presented in the right eye and involved the adjacent scleral tissue. A crescent shaped corneal-scleral patch graft was performed to preserve the anatomical integrity of the eye as well as vision along with local as well as systemic immunosuppression. This report highlights how a corneal-scleral patch graft followed by systemic and local immunosuppressive treatment can be considered in monocular patients with malignant Mooren's ulcer which can prove to be globe saving as well as vision saving.