Fernandes Merle, Vira Divya
Department of Cornea and Anterior Segment Services, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.
Middle East Afr J Ophthalmol. 2015 Apr-Jun;22(2):255-7. doi: 10.4103/0974-9233.151873.
A young female presented with blurred vision in the left eye after she rubbed her eye. On examination of both eyes, she had 360° thinning adjacent to the limbus, lipid deposition and superficial vascularization with a perforation in the left eye. The patient was diagnosed with bilateral Terrien's marginal degeneration (TMD) with perforation. Corneal topography of the right eye revealed high oblique astigmatism confirming the diagnosis. A peripheral patch graft was performed for the left eye. At 18 months postoperatively, the best-corrected visual acuity was 20/20 in both eyes. The graft was clear. Topography of right eye was stable, and the left eye had oblique astigmatism. Bilateral advanced TMD in a young patient presenting with corneal perforation following trivial trauma is extremely uncommon. Patch graft may be an option for restoring the globe integrity in such cases. Regular follow-up is necessary as the condition progresses slowly.
一名年轻女性在揉眼后出现左眼视力模糊。双眼检查发现，她在角膜缘附近有360°变薄、脂质沉积和浅层血管化，左眼有一个穿孔。该患者被诊断为双侧伴有穿孔的特里安边缘性角膜变性（TMD）。右眼的角膜地形图显示有高度斜散光，从而确诊。对左眼进行了周边补片移植。术后18个月，双眼最佳矫正视力均为20/20。移植片清晰。右眼地形图稳定，左眼有斜散光。一名年轻患者因轻微外伤后出现角膜穿孔的双侧晚期TMD极为罕见。在这种情况下，补片移植可能是恢复眼球完整性的一种选择。由于病情进展缓慢，定期随访是必要的。
