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)

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