title: Iatrogenic corneal perforation in Terrien Marginal Degeneration.
abstract: This case report is about a rare disease with unusual presentation. Failure to recognise atypical presentation may lead to error in managing the patient and cause disastrous complications. Here we highlight a case of Terrien Marginal Degeneration in both eyes with atypical presentation; namely pseudopterygium. A 22 year old man was referred to our centre for iatrogenic right eye corneal perforation after having an atypical pterygium removed at another hospital. On arrival, his vision was 1/60 in both eyes with bilateral cornea Terrien Marginal Degeneration. His right eye anterior chamber was deep with a conjunctival flap covering the perforation site which was located from the 2.30 - 3.30 clock position nasally with no aqueous leak. However after a day his right eye anterior chamber became flat and there was fast aqueous leak from the perforation site. An emergency C shaped peripheral corneal lamellar keratoplasty was performed to seal the perforation. Post operatively his right eye improved to 6/24.
authors: Hospital Sultanah Bahiyah, Ophthalmology Department, Alor Star, 05460 Kedah, Malaysia. mkursiah@gmail.com.
authors: Kursiah
authors: K
authors: M R
mesh_terms: D003315:Cornea / Q000601:surgery; D003316:Corneal Diseases / Q000601:surgery; D057112:Corneal Perforation; D016039:Corneal Transplantation; D006801:Humans; D007049:Iatrogenic Disease; D014792:Visual Acuity