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

All that melts is not Mooren's


Department of Cornea and Refractive Surgery, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Submission09-Feb-2021
Date of Acceptance28-Mar-2022
Date of Web Publication16-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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_404_22

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  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 14];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 Top


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 Top

1.
Gupta Y, Kishore A, Kumari P, Balakrishnan N, Lomi N, Gupta N. et al. Peripheral ulcerative keratitis. Surv Ophthalmol 2021;66:977-98.  Back to cited text no. 1
    
2.
Tavassoli S, Wong N, Chan E. Ocular manifestations of rosacea: A clinical review. Clin Exp Ophthalmol 2021;49:104-17.  Back to cited text no. 2
    
3.
Valerio GS, Lin CC. Ocular manifestations of herpes simplex virus. Curr Opin Ophthalmol 2019;30:525-31.  Back to cited text no. 3
    
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.  Back to cited text no. 4
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