DOI: 10.36347/sjmcr.2017.v05i11.011

Pages: 727-729

A 38-year-old Malay gentleman presented with 1 year history of bilateral eye discomfort and redness with deteriorating vision. He underwent myopic laser refractive surgery and had history of ocular Steven Johnsons syndrome (SJS). He admitted to use regular topical steroid to relieve the symptoms. The visual acuity was 6/24 in the right eye and counting finger in the left eye. There was peripheral corneal melt and thinning which is worse on the left eye and associated with perforation. All investigations to rule out causes of peripheral ulcerative keratitis were negative, and diagnosis of Mooren ulcer was made. A lamellar keratoplasty was performed to seal the leak on left eye, and he was initiated on systemic immunosuppression. At present, his corneal melt has stabilizes and his vision remains at 6/24 in the right eye and 6/60 in the left eye.