Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis

Purpose: To report an interesting case of concomitant bilateral Terrien′s marginal degeneration-like corneal ectasia and posterior polymorphous corneal dystrophy in a young man with quiescent rheumatoid arthritis. Case Report: A 24-year-old man with history of rheumatoid arthritis presented with bi...

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Main Authors: Siamak Zarei-Ghanavati, Mohammad-Ali Javadi, Shahin Yazdani
Format: Article
Language:English
Published: Knowledge E 2012-01-01
Series:Journal of Ophthalmic & Vision Research
Subjects:
Online Access:http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=60;epage=63;aulast=Zarei-Ghanavati
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author Siamak Zarei-Ghanavati
Mohammad-Ali Javadi
Shahin Yazdani
author_facet Siamak Zarei-Ghanavati
Mohammad-Ali Javadi
Shahin Yazdani
author_sort Siamak Zarei-Ghanavati
collection DOAJ
description Purpose: To report an interesting case of concomitant bilateral Terrien′s marginal degeneration-like corneal ectasia and posterior polymorphous corneal dystrophy in a young man with quiescent rheumatoid arthritis. Case Report: A 24-year-old man with history of rheumatoid arthritis presented with bilateral decreased vision since four years ago. Slit lamp examination revealed bilateral circumferential peripheral corneal thinning and bulging with vascularization and lipid deposition in addition to band-like lesions in descemet′s membrane. Previous records revealed no gross corneal abnormalities up to 4 years ago. Corneal lesions were compatible with bilateral circumferential Terrien′s marginal degeneration concomitant with posterior polymorphous dystrophy. Conclusion: To our knowledge, this is the first report of concomitant bilateral Terrien′s marginal degeneration with peripheral corneal ectasia and posterior polymorphous dystrophy in a patient with rheumatoid arthritis. Bilateral circumferential involvement, younger age at presentation and total peripheral corneal ectasia as observed in this case are not typical for classic Terrien′s marginal degeneration.
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spelling doaj.art-ab4095f012fe4473960edacd64abf1fe2022-12-22T02:39:21ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2012-01-01716063Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid ArthritisSiamak Zarei-GhanavatiMohammad-Ali JavadiShahin YazdaniPurpose: To report an interesting case of concomitant bilateral Terrien′s marginal degeneration-like corneal ectasia and posterior polymorphous corneal dystrophy in a young man with quiescent rheumatoid arthritis. Case Report: A 24-year-old man with history of rheumatoid arthritis presented with bilateral decreased vision since four years ago. Slit lamp examination revealed bilateral circumferential peripheral corneal thinning and bulging with vascularization and lipid deposition in addition to band-like lesions in descemet′s membrane. Previous records revealed no gross corneal abnormalities up to 4 years ago. Corneal lesions were compatible with bilateral circumferential Terrien′s marginal degeneration concomitant with posterior polymorphous dystrophy. Conclusion: To our knowledge, this is the first report of concomitant bilateral Terrien′s marginal degeneration with peripheral corneal ectasia and posterior polymorphous dystrophy in a patient with rheumatoid arthritis. Bilateral circumferential involvement, younger age at presentation and total peripheral corneal ectasia as observed in this case are not typical for classic Terrien′s marginal degeneration.http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=60;epage=63;aulast=Zarei-GhanavatiRheumatoid Arthritis; Corneal Ectasia; Posterior Polymorphous Dystrophy; Terrien′s Marginal Degeneration
spellingShingle Siamak Zarei-Ghanavati
Mohammad-Ali Javadi
Shahin Yazdani
Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
Journal of Ophthalmic & Vision Research
Rheumatoid Arthritis; Corneal Ectasia; Posterior Polymorphous Dystrophy; Terrien′s Marginal Degeneration
title Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
title_full Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
title_fullStr Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
title_full_unstemmed Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
title_short Bilateral Terrien′s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
title_sort bilateral terrien s marginal degeneration and posterior polymorphous dystrophy in a patient with rheumatoid arthritis
topic Rheumatoid Arthritis; Corneal Ectasia; Posterior Polymorphous Dystrophy; Terrien′s Marginal Degeneration
url http://www.jovr.org/article.asp?issn=2008-322X;year=2012;volume=7;issue=1;spage=60;epage=63;aulast=Zarei-Ghanavati
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AT mohammadalijavadi bilateralterriensmarginaldegenerationandposteriorpolymorphousdystrophyinapatientwithrheumatoidarthritis
AT shahinyazdani bilateralterriensmarginaldegenerationandposteriorpolymorphousdystrophyinapatientwithrheumatoidarthritis