Falcinelli G C, Valvo A, Vinciguerra V M
J Fr Ophtalmol. 1981;4(12):815-8.
The authors report a very serious case of Mooren's ulcer, which did not show any improvement with local and general treatment. This case which showed a Raynaud's phenomenon was completely cured after ablation of superior cervical ganglion and bilateral peri-carotid sympathectomy. In the authors opinion, in accordance with many instances in the literature, Mooren's ulcer has initially a sympathetic origin. Furthermore, in these cases of Mooren's ulcer in which an etiologic agent has been demonstrated, the authors believe that this agent is superimposed, and can, cause a sympathetic angiospasm, which often makes useless the various medical or surgical treatments experienced to date.
作者报告了一例非常严重的蚕蚀性角膜溃疡，局部和全身治疗均未见任何改善。该病例伴有雷诺现象，在切除颈上神经节和双侧颈动脉周围交感神经切除术后完全治愈。作者认为，根据文献中的许多实例，蚕蚀性角膜溃疡最初起源于交感神经。此外，在这些已证实有病因的蚕蚀性角膜溃疡病例中，作者认为该病因是叠加的，并可导致交感神经血管痉挛，这常常使迄今为止所采用的各种药物或手术治疗变得无效。
