Dr.Sarita Panda, P08279
70 yr old male presented on 2/2/2018 with C/O of watering,foreign body sensation,pain,redness,photophobia for 6 months & decreasing vision for 2 months in both eyes,right eye being affected more.On examining right eye we found eyelids oedematous ,conjunctival,circumcilliary congestion.Cornea was hazy with peripheral thinning with overhanging border and irregular margins from 6o clock to 11 o clock position with epithelial defect with stromal defect(2mmx8mm) & with iris prolapse at 7-8 clock.AC depth irregular fine KP present,pigment dispersion over lens.We grafted a sclera corneal path on the affected site of semi-lunar shape(2.5×8.5mm) & sutured at corneal end with 10-0 nylon and scleral end with 8-0 vicryl after abscission of iris.AC formed.post-op uneventful.VA improved to 2m.Signs symptoms subsided.We conclude that this procedure is better option that can salvage the eye in time preventing impending blindness in mooren’s ulcer along with efficiently using the residual donor cornea.
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