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Arch Ophthalmol. 1998;116:1381-1382.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Epikeratoplasty offers a reasonable therapeutic option for many young patients with keratoconus in Saudi Arabia who are contact lens intolerant because of unfavorable climatic conditions, often with concomitant vernal keratoconjunctivitis, who have a relatively clear visual axis, and for whom the higher risks of penetrating keratoplasty offset the benefits of a slightly better visual prognosis.¹ We report the first case, to our knowledge, of Mooren ulcer occurring following epikeratoplasty performed for keratoconus.

Report of a Case

A 12-year-old Saudi girl was referred to the Anterior Segment Division of the King Khaled Eye Specialist Hospital in Riyadh for management of keratoconus. Her ocular history was remarkable for chronic vernal keratoconjuctivitis that was well controlled with topical mast cell inhibitors. Her best-corrected spectacle visual acuity was 20/160 OD with -6.00 -2.25 x 135, and 20/40 OS with -6.00 -4.00 x 25. Keratometry readings were 54.50/57.25 OD and 56.00/49.50 OS, with much more marked irregularity in the . . . [Full Text of this Article]

Comment
Reprints: Michael D. Wagoner, MD, Medical Library, King Khaled Eye Specialist Hospital, PO Box 7191, Riyadh 11462, Kingdom of Saudi Arabia.

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