Muhammad Salman Hamza, Ch Javaid Iqbal, Amtul Naseer Sami, Qunbar Abbas, Imran Akram Sahaf.
Grafting of Autologous Fascia Lata in the Salman Hamza Treatment of Perforated Mooren?s Ulcer.
Ophthalmol Update Jan ;13(3):193-5.

Introduction: Mooren?s ulcer is a rapidly progressive, painful, ulcerative keratitis which initially affects the peripheral cornea and may spread circumferentially and then centrally. It has two types: Benign and Malignant. Malignant type is more painful and generally gives a poor response to the therapy and tends to perforate for which currently no satisfactory treatment is available. Use of autologus fascia lata to plug perforation has been initiated by Prof. Imran Akram Sahaf. Material and Method: This study was conducted in Institute of Ophthalmology, King Edward Medical University, Mayo Hospital, Lahore. Six patients with perforated Mooren?s ulcer were included in this study. The size of perforations varies from button hole to ¾ of peripheral cornea. In all the cases autologus Fascia lata was grafted. Follow up was done for 6 months Results: All the globes were saved from being lost due to perforation. It provided relief from the symptoms like pain, photophobia and lacrimation. This procedure also reduced Inflammation and congestion. Conclusion: Use of autologus fascia-lata in perforated Mooren?s ulcer provides promising results in globe preservation.

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