Journal francais d'ophtalmologie · 2026
Perforated Mooren's ulcer in African melanoderm: Report of 18 cases.
СтатьяНазвание и аннотация: Перевод в очереди
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Konan A K J, Ouffoue Y G, Ouattara O A S, Kouassi L J, Ouonnebo L F, Dibi C A U, Sirima D M, Kouai B T, Kone K, Appia G B, Kassa M, Kouadjo A J, Boni S, Gbe K
Аннотация
INTRODUCTION: Corneal perforation is a progressive complication of Mooren's ulcer. Its management in African blacks is difficult and empirical.
MATERIALS AND METHODS: We performed a prospective study over a 6-year period on black African patients with perforated Mooren's ulcers. They received medical and surgical treatment.
RESULTS: Eighteen eyes of sixteen patients were included during the study period. The mean age was 29.54years with a sex ratio of 0.6. Six eyes were visually impaired, while ten eyes (55.6%) were blind. Corneal suturing combined with conjunctival advancement was performed in 72.2% of cases, and an amniotic membrane graft was used in 27.8%. Recurrence after treatment was observed in 33.3% of cases. In univariate analysis, predictive factors for recurrence include female gender, age under 30, and a delay until consultation of more than 3 months.
CONCLUSION: Perforated Mooren's ulcer is a blinding disease in African blacks. Recurrence is frequent and requires special attention from the patient and the specialist. Amniotic membrane transplantation has proven to be an effective treatment.
MATERIALS AND METHODS: We performed a prospective study over a 6-year period on black African patients with perforated Mooren's ulcers. They received medical and surgical treatment.
RESULTS: Eighteen eyes of sixteen patients were included during the study period. The mean age was 29.54years with a sex ratio of 0.6. Six eyes were visually impaired, while ten eyes (55.6%) were blind. Corneal suturing combined with conjunctival advancement was performed in 72.2% of cases, and an amniotic membrane graft was used in 27.8%. Recurrence after treatment was observed in 33.3% of cases. In univariate analysis, predictive factors for recurrence include female gender, age under 30, and a delay until consultation of more than 3 months.
CONCLUSION: Perforated Mooren's ulcer is a blinding disease in African blacks. Recurrence is frequent and requires special attention from the patient and the specialist. Amniotic membrane transplantation has proven to be an effective treatment.