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ARTICLE
Year : 1969  |  Volume : 17  |  Issue : 3  |  Page : 114

Topical cortisone in the treatment of Mooren's ulcer


Patna Medical College and Hospital, Patna, India

Date of Web Publication10-Jan-2008

Correspondence Address:
R Pandey
Patna Medical College and Hospital, Patna
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Pandey R. Topical cortisone in the treatment of Mooren's ulcer. Indian J Ophthalmol 1969;17:114

How to cite this URL:
Pandey R. Topical cortisone in the treatment of Mooren's ulcer. Indian J Ophthalmol [serial online] 1969 [cited 2019 Sep 21];17:114. Available from: http://www.ijo.in/text.asp?1969/17/3/114/38524

Mooren's ulcer was originally des­cribed by Mooren in 1867 as a chronic superficial ulcer of unknown aetiology, occurring in elderly people which has a characteristically undermined border and does not perforate.

The author came across four such cases of Mooren's ulcer, three in the indoor wards of Patna Medical 'Col­lege Hospital and one in the author's private clinic. In the former three cases cauterizing with heat and carbo­lic acid, local antibiotic ophthalmic ointments, injections of high doses of vitamins C, B1 and B12 were adminis­tered. The ulcers were covered by a conjunctival flap after removal of the overhanging corneal edge. In spite of these vigorous measures, all the three eyes were ultimately lost.


  Case Report Top


On 9.4.67 the author came across Mr. B. Singh, male, aged 40 years with a typical Mooren's ulcer in the right eye. Before this, the patient had been treated by topical sulphacetamide drops and tetracycline eye ointments along with topical atropine and band­aging of the right eye for over a month, in his own village, but to no effect.

The author performed a lateral tarsorraphy in the right eye on 9.5.67

The pain redness photophobia, lac­rimation and some amount of itching in the eye recurred off and on and brought the patient under the author's observation whenever there was re­currence. Systemic cortisone was also used in this case with no effect. This patient was referred to another oph­thalmic surgeon who treated him by repeated carbolic cautery, which also proved ineffective.

Ultimately on 18.4.68 he was treat­ed by cortisone ophthalmic ointment (Betnasol eye ointment of Glaxo) thrice daily, particularly because the patient complained of some amount of itching along with profuse watering of the eyes and severe pain along the ophthalmic division of the 5th nerve. After a week's treatment on topical cortisone ointment the patient was completely relieved of all his symp­toms. The tarsorraphy was undone and the patient went home. Since three months there have been no recur­rences, although he is getting no medicines. This shows that topical cortisone was the only effective mea­sure in this case of Mooren's ulcer.

Leigh [1] has reported one case of Mooren's ulcer which responded to systemic cortisone, but he has also re­ported that topical cortisone has been used extensively in Mooren's ulcer without any effect.


  Summary Top


A case of Mooren's ulcer treated unsuccessfully with cauterization, sys­temic and local antibiotics and tarsorraphy, responded immediately to local applications of dexamethasone. A significant symptom was itching which suggested local therapy with corticosteroids.

 
  References Top

1.
Leigh A.G.: XIX Concillum Ophthal­mologicum Acta Vol. 1, 1962, New Delhi.  Back to cited text no. 1
    




 

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