Terrien's Marginal Degeneration with Peripheral 360 degrees Lipidopathy.

Kim, Jee Taek; Kim, Jae Chan

Case Report

Journal of the Korean Ophthalmological Society 2006;47(11):1824-1828.
Published online November 30, 2006.

Terrien's Marginal Degeneration with Peripheral 360 degrees Lipidopathy.

Jee Taek Kim, Jae Chan Kim

Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea. jck50ey@kornet.net

각막 주변부 360°지방침착물이 동반된 테리엔변연변성

김지택,김재찬

Department of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea

Correspondence: Jee Taek Kim, M.D.

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.

Key Words: Lipid keratopathy;Terrien's degenration