[Keratectomy and cataract extraction in Terrien disease].
In a 36-year-old patient with bilateral Terrien's disease, surgery to improve vision in the right eye, which was in Stage V, was no longer possible. In Stage III a thoroughgoing keratectomy parallel to the limbus was performed, in combination with cataract extraction and coreplasty. Even though Descemet's membrane was absent in the dystrophic corneal region, optimal healing was achieved by wound closure with a combination of biosutures, monofil sutures, and "Tissucol" biological tissue cement. The keratectomy reduced the corneal astigmatism from 11 to 4 D. With corrective lenses the patient regained a visual acuity of 0.4 in the left eye. The histological findings are discussed.
D000328:Adult; D002387:Cataract Extraction; D003315:Cornea / Q000601:surgery*; D003317:Corneal Dystrophies, Hereditary / Q000601:surgery*; D005260:Female; D006801:Humans
Keratektomie und Katarakt-Extraktion bei Morbus Terrien.