[Terrien marginal degeneration].

J Fr Ophtalmol

Service d'ophtalmologie, hôpital militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohammed V, Rabat, Maroc.

Published: January 2019

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http://dx.doi.org/10.1016/j.jfo.2018.03.032DOI Listing

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Purpose: To analyze central corneal in vivo confocal microscopy (IVCM) in Terrien marginal degeneration (TMD).

Methods: An observational prospective case-control study. Ten Finnish patients with TMD from a tertiary referral center were compared with 10 age- and sex-matched healthy volunteers.

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This case report presents a unique instance of a 55-year-old male patient exhibiting features of both Terrien marginal degeneration (TMD) and Fuchs' superficial marginal keratitis. Characterized by peripheral corneal thinning vascularization, and a pseudopterygium, the patient experienced recurrent photophobia, redness, and tearing over 15 years. This case challenges the traditional distinction between TMD and Fuchs' superficial marginal keratitis, suggesting a potential common underlying disorder.

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[A severe unilateral corneal ectasia in children].

J Fr Ophtalmol

December 2023

CHU du Nord, Marseille, France.

Article Synopsis
  • A 14-year-old girl presented with unilateral Terrien's marginal degeneration, characterized by specific eye examination findings like lipid deposits and corneal thinning.
  • The condition, usually seen in older men, requires differentiation from similar corneal issues such as Fuchs' marginal keratitis and Mooren's ulcer, by analyzing the presentation of symptoms and corneal features.
  • The case highlights the significance of recognizing that Terrien's marginal degeneration can also manifest in pediatric patients, contrary to common beliefs.
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Article Synopsis
  • The study aimed to analyze corneal topography related to astigmatism and corneal curvatures in patients with Terrien marginal degeneration using advanced imaging techniques.
  • Twenty-nine eyes from 15 Finnish patients were classified into four corneal topographic patterns: crab claw, mixed, arcuate, and normal, with observations made on progression and various corneal metrics.
  • The results indicated that corneal topographic patterns differ significantly, with CC and M patterns showing more rapid progression and specific aberrations, suggesting these patients may need closer monitoring compared to others.
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Ruptured Terrien Marginal Degeneration.

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Department of Ophthalmology, Mackay Memorial Hospital, Taipei City, Taiwan.

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