Terrien's Marginal Degeneration- Peripheral Corneal Thinning/ Corneal EctasiaJ.T. Kavanagh MD

Pt with Terrien's Marginal Degeneration a marginal thinning of the cornea. This is an interesting case of a 44-year-old man who presented to our clinic, with progressively worsening of vision in the right eye only, this was painless and had happened gradually over a few years.
Examination showed marginal thinning of superior cornea, with lipid deposition on the central edge of the thinned area. There was a fine pannus peripherally, and no evidence of an epithelial defect.
Corneal topography showed marketed against the rule astigmatism, at approximately 90° to the area of most thinning of the cornea.
These findings are consistent with Terrien's Marginal Degeneration of the cornea. The differential diagnosis includes: pellucid marginal degeneration,furrow degeneration, corneal melt, infectious corneal ulcer, Mooren's ulcer, dellen, keratoscleritis.

Offices in: Seguin, San Antonio, New Braunfels, Luling, Gonzales and Hondo. 830-379-3937. www.eyeassociatesofsouthtexas.com or www.eyestx.com

Dr. Kavanagh is a board certified ophthalmologist and clinical assistant professor at University of Texas Health Science Center in San Antonio Texas, where he has taught many residents cataract and glaucoma surgery. Dr. Kavanagh has performed over 10,000 cataract procedures with intraocular lens implantation. He implants: Restor, Technis Multi Focal (MF), Crystalens, Toric IOLs.