Terrien marginal degeneration presenting with spontaneous corneal perforation.

Abstract:

PURPOSE:To report spontaneous corneal perforation as a presenting sign of unilateral Terrien marginal degeneration in a young adult. METHODS:A 19-year-old woman presented with sudden loss of vision in her left eye of 1-day duration. Examination revealed superior corneal thinning with superficial vascularization and secondary lipid keratopathy. There was an area of corneal perforation at the 11 o'clock position, leading to a shallow anterior chamber, ocular hypotony, and a hypotonic maculopathy. The right eye was normal on biomicroscopy. RESULTS:The area of perforation was confirmed by a positive Seidel test. A 22-mm-diameter bandage contact lens was fitted, which led to closure of the perforation and reformation of the anterior chamber. Orbscan corneal topography confirmed superior corneal thinning, 2.3 D of against-the-rule astigmatism, and 3.4 D of irregular astigmatism in the central 3-mm zone. Topography of the right showed no apparent abnormality. CONCLUSION:Terrien marginal degeneration is an unusual cause for a spontaneous corneal perforation. Patients with this disorder should be warned about this possibility.

journal_name

Cornea

journal_title

Cornea

authors

Srinivasan S,Murphy CC,Fisher AC,Freeman LB,Kaye SB

doi

10.1097/01.ico.0000226367.41925.ab

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

977-80

issue

8

eissn

0277-3740

issn

1536-4798

pii

00003226-200609000-00024

journal_volume

25

pub_type

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