|Year : 2022 | Volume
| 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|
Dr. Radhika Natarajan
Department of Cornea and Refractive Surgery, Sankara Nethralaya, Medical Research Foundation, 18, College Road, Chennai - 600 006, Tamil Nadu
Source of Support: None, Conflict of Interest: None
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
Autoimmune peripheral ulcerative keratitis associated with collagen vascular diseases and isolated Mooren's ulcer [Figure 1]a are important causes of peripheral corneal melting. Lid margin disease also leads to perilimbal immune ulceration with a lucid interval, where the lid touches the cornea [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 [Figure 1]c or pythium keratitis [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.
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Conflicts of interest
There are no conflicts of interest.
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