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Contact Lens SpectrumOnline Photo Diagnosis: Mooren’s Ulcer

Navigating Vision Correction: A Patient’s Journey with Mooren’s Ulcer

A 52-year-old male patient, with a history of Mooren’s ulcer and a corneal transplant, has successfully managed his vision correction with scleral lenses and spectacle lenses. His journey from diagnosis to the current state of vision correction provides valuable insights into the management of Mooren’s ulcer.

Key Points

  • The patient had a wedge corneal transplant on the right eye due to corneal perforation three years prior.
  • He uses 1% prednisolone acetate b.i.d. OD and loteprednol b.i.d. OS.
  • After scleral lens fitting OD, his vision was 20/20, similar to his left eye.
  • The patient was diagnosed with Mooren’s ulcer, a rare and painful peripheral ulceration of the cornea thought to have an autoimmune basis.
  • The right eye was managed with a scleral lens for vision correction, while the left eye was corrected with spectacle lenses only.

According to the American Academy of Ophthalmology, Mooren’s ulcer is so rare that it affects less than one person per million per year.

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