title: Patch Graft for Corneal Perforation Following Trivial Trauma in Bilateral Terrien's Marginal Degeneration.
abstract: A young female presented with blurred vision in the left eye after she rubbed her eye. On examination of both eyes, she had 360° thinning adjacent to the limbus, lipid deposition and superficial vascularization with a perforation in the left eye. The patient was diagnosed with bilateral Terrien's marginal degeneration (TMD) with perforation. Corneal topography of the right eye revealed high oblique astigmatism confirming the diagnosis. A peripheral patch graft was performed for the left eye. At 18 months postoperatively, the best-corrected visual acuity was 20/20 in both eyes. The graft was clear. Topography of right eye was stable, and the left eye had oblique astigmatism. Bilateral advanced TMD in a young patient presenting with corneal perforation following trivial trauma is extremely uncommon. Patch graft may be an option for restoring the globe integrity in such cases. Regular follow-up is necessary as the condition progresses slowly.
authors.affiliation: Department of Cornea and Anterior Segment Services, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Merle
authors.initials: M
authors.lastname: Fernandes
authors.affiliation: Department of Cornea and Anterior Segment Services, LV Prasad Eye Institute, Visakhapatnam, Andhra Pradesh, India.
authors.forename: Divya
authors.initials: D
authors.lastname: Vira
mesh_terms: D001251:Astigmatism / Q000175:diagnosis; D003317:Corneal Dystrophies, Hereditary / Q000150:complications* / Q000175:diagnosis; D057112:Corneal Perforation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019781:Corneal Topography; D016039:Corneal Transplantation; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D011184:Postoperative Period; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult
keywords: Corneal Perforation; Patch Graft; Peripheral Corneal Degeneration; Terrien's Marginal Degeneration