All that melts is not Mooren's

Radhika Natarajan; Shridhar Kulkarni; Maria T Priyanka

doi:10.4103/ijo.IJO_404_22

PHOTO ESSAY

Year : 2022 | Volume : 2 | Issue : 3 | Page : 800-801

All that melts is not Mooren's

Radhika Natarajan, Shridhar Kulkarni, Maria T Priyanka
Department of Cornea and Refractive Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Submission	09-Feb-2021
Date of Acceptance	28-Mar-2022
Date of Web Publication	16-Jul-2022

Correspondence Address:
Dr. Radhika Natarajan
Department of Cornea and Refractive Surgery, Sankara Nethralaya, Medical Research Foundation, 18, College Road, Chennai - 600 006, Tamil Nadu
India

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_404_22

Abstract

Keywords: Mooren's, Peripheral corneal melt, Immune keratitis, Herpetic or Pythium keratitis

How to cite this article:
Natarajan R, Kulkarni S, Priyanka MT. All that melts is not Mooren's. Indian J Ophthalmol Case Rep 2022;2:800-1

How to cite this URL:
Natarajan R, Kulkarni S, Priyanka MT. All that melts is not Mooren's. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 19];2:800-1. Available from: https://www.ijoreports.in/text.asp?2022/2/3/800/351188

Autoimmune peripheral ulcerative keratitis associated with collagen vascular diseases and isolated Mooren's ulcer [Figure 1]a are important causes of peripheral corneal melting.^[1] Lid margin disease also leads to perilimbal immune ulceration with a lucid interval, where the lid touches the cornea^[2] [Figure 1]b.

Figure 1: (a) Peripheral ulcerative keratitis. (b) Perilimbal immune ulceration. (c) Herpes simplex keratoconjunctivitis (d) Pythium keratitis

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Rarely, infectious etiologies such as primary herpes simplex keratoconjunctivitis^[3] [Figure 1]c or pythium keratitis^[4] [Figure 1]d can also cause peripheral corneal infiltrates and guttering.

Discussion

Looking for discharge and color of infiltration as well as microbiology in suspicious cases is important as steroids used for treating immune corneal melts can flare up herpes simplex epithelial disease or pythium keratitis.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

References

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2.	Tavassoli S, Wong N, Chan E. Ocular manifestations of rosacea: A clinical review. Clin Exp Ophthalmol 2021;49:104-17.
3.	Valerio GS, Lin CC. Ocular manifestations of herpes simplex virus. Curr Opin Ophthalmol 2019;30:525-31.
4.	Hasika R, Lalitha P, Radhakrishnan N, Rameshkumar G, Prajna NV, Srinivasan M. Pythium keratitis in South India: Incidence, clinical profile, management, and treatment recommendation. Indian J Ophthalmol 2019;67:42-7. [PUBMED] [Full text]