J Korean Ophthalmol Soc.  2006 Nov;47(11):1824-1828.

Terrien's Marginal Degeneration with Peripheral 360 degrees Lipidopathy

• Kim JT
• Kim JC

Abstract

PURPOSE: We report an atypical case of Terrien's marginal degeneration with epithelial defect and peripheral 360 degrees lipidopathy.
METHODS
A 59-year-old female patient visited our clinic complaining of severe foreign body sensation in her right eye. She had visited our clinic with foreign body sensation 11 years before. She has been followed-up for 11 years with a diagnosis of Terrien's marginal degeneration. Upon ocular exmaniation, visual acuity of both eyes was 20/20. Both eyes had 360 degrees circumferential peripheral thinning with deposition of lipids. The lesion progressed very little over past 11 years. For the patient's most recent examination, the foreign body sensation is believed to be caused by calcified lipid deposition protruding from the corneal stroma with an epithelial defect.
RESULTS
What makes this case unique is the 360 degrees circumferential peripheral thinning with deposition of lipid and calcification of lipid deposition which protruded from corneal stroma with an epithelial defect.

Keyword

Lipid keratopathy; Terrien's degenration

MeSH Terms

Corneal Stroma
Diagnosis
Female
Foreign Bodies
Humans
Middle Aged
Sensation
Visual Acuity