PURPOSE: To assess the outcome of cataract surgery in patients with Mooren's ulcer. SETTING: Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India. METHODS: In this interventional case series, the medical records of 6 patients with Mooren's ulcer who had cataract surgery were retrospectively reviewed. Five patients had uneventful extracapsular cataract extraction with intraocular lens (IOL) implantation, and 1 patient had phacoemulsification with IOL implantation. The visual acuity and postoperative course of the patients were reviewed. The patients were followed to detect, and if present treat, a recurrence of Mooren's ulcer. RESULTS: The follow-up ranged from 3 months to 2 years. The preoperative visual acuity ranged from 20/60 to hand movements. Postoperatively, the best corrected visual acuity improved to 20/20 to counting fingers close to face. Mooren's ulcer recurred 8 months after surgery in 1 patient and was treated appropriately. CONCLUSIONS: Results indicate that cataract surgery can be safe in patients with Mooren's ulcer and visually significant cataract. Performing surgery in a quiet, noninflamed eye improves the prognosis in these cases.
PURPOSE: To assess the outcome of cataract surgery in patients with Mooren's ulcer. SETTING: Ocular Immunology and Uveitis Service, L.V. Prasad Eye Institute, Hyderabad, India. METHODS: In this interventional case series, the medical records of 6 patients with Mooren's ulcer who had cataract surgery were retrospectively reviewed. Five patients had uneventful extracapsular cataract extraction with intraocular lens (IOL) implantation, and 1 patient had phacoemulsification with IOL implantation. The visual acuity and postoperative course of the patients were reviewed. The patients were followed to detect, and if present treat, a recurrence of Mooren's ulcer. RESULTS: The follow-up ranged from 3 months to 2 years. The preoperative visual acuity ranged from 20/60 to hand movements. Postoperatively, the best corrected visual acuity improved to 20/20 to counting fingers close to face. Mooren's ulcer recurred 8 months after surgery in 1 patient and was treated appropriately. CONCLUSIONS: Results indicate that cataract surgery can be safe in patients with Mooren's ulcer and visually significant cataract. Performing surgery in a quiet, noninflamed eye improves the prognosis in these cases.