Case Report 1 – Terrien’s Marginal Degeneration

Case Report 1 – Terrien’s Marginal Degeneration

Case Report 1 – Terrien’s Marginal Degeneration

Case Report for QUT 4th Year Optometry Students

Things to note:

TMD is rare, bilateral, asymmetric disease, males > females 3:1, 1/3 of all cases carry an inflammatory component, can rupture need to watch corneal thickness, stromal lipid deposits, absence of Bowmans and anterior stromal thinning

Terrien himself saw 3 cases in 30 years of practice. Watch lifestyle as 15% of cases spontaneously perforate. Differentiated from PMD due to vascularisation, lipid infiltration, or corneal ulceration which do not occur in PMD.

  • —23 yo female – soccer player / lawyer –
  • —GH – unremarkable – no RA / autoimmune disorder
  • —POH – Moderate myopia
  • —OD: -3.25 / -0.50 x 61 DS (6/6)
  • —OS: -5.00 DS (6/6)

—Employ a stepped approach so the simplest option is the best option.

  • —J&J One Day Moist
  • —OD: 8.5 / 14.0 / -3.50   (6/6)
  • —OD: 8.5 / 14.0 / -5.00  (6/6)

—Terrien's Marginal Degeneration Topography :: @ Mark Hinds Optometrists, specialty contact lenses, keratoconus, scleral contact lenses, orthoK Brisbane, children’s optometrist, contact lens specialist, synergeyes contact lenses, keratoconus contact lenses, orthokeratology, hard contact lenses, maui jim, RGP contact lenses, corneal specialist, optometrist Brisbane, myopia control – phone 07 3358 6566 / orders@markhindsoptometrists.com.au ; voted Brisbane’s best optometrist Terrien's Marginal Degeneration Image Mark Hinds Optometrists  :: @ Mark Hinds Optometrists, specialty contact lenses, keratoconus, scleral contact lenses, orthoK Brisbane, children’s optometrist, contact lens specialist, synergeyes contact lenses, keratoconus contact lenses, orthokeratology, hard contact lenses, maui jim, RGP contact lenses, corneal specialist, optometrist Brisbane, myopia control – phone 07 3358 6566 / orders@markhindsoptometrists.com.au ; voted Brisbane’s best optometrist

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