Bilateral Terrien’s Marginal Degeneration and Posterior Polymorphous Dystrophy in a Patient with Rheumatoid Arthritis
نویسندگان
چکیده
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.
منابع مشابه
Bilateral Synovial Knee Chondromatosis in a Patient with Rheumatoid Arthritis: Case-report and Literature Review
We presented a female patient with RA complaining of progressive pain, swelling, and crepitation of the knee joints that was diagnosed with bilateral synovial chondromatosis (SC) of both knees. Radiographies revealed characteristic findings of SC including multiple calcified multifaceted loose bodies within both knees. Removal of cartilaginous segments as well as total synovectomy was performed...
متن کاملSimultaneous Quadruple Joint Replacement (QJR) in Disabling Juvenile Rheumatoid Arthritis – a Case Report with Review of Literature
We wish to present a case of 47-year-old patient with Juvenile Rheumatoid Arthritis and ankylosis of both hips and bothknees treated by bilateral hip and knee arthroplasty in a single anaesthesia i.e. Quadruple joint replacement in singlesitting. He was back on his feet from his bed-ridden state within the fortnight following surgery. He has been followedup for four years and has been performin...
متن کاملTerrien’s Marginal Degeneration Accompanied by Latticed Stromal Opacities
PURPOSE We report a case of Terrien's marginal degeneration (TMD) with a unilaterally typical narrow band of peripheral corneal stroma thinning, accompanied by the presence of an unusual network of opacities diffusing throughout the anterior stroma layers. CASE REPORT A 43-year-old woman presented with superior nasal peripheral corneal thinning and an unusual network of polygonal stromal opac...
متن کاملEndothelial keratoplasty for posterior polymorphous corneal dystrophy in a 4-month-old infant
Purpose To report a case of endothelial keratoplasties (EKs) performed in a 4 month old with a posterior polymorphous corneal dystrophy. Observations A 4 month old infant underwent Descemet membrane endothelial keratoplasty (DMEK) for posterior polymorphous corneal dystrophy. The graft was found to be dislocated on day 5 post-operatively and an attempt to unfold the DMEK scroll and re-bubble ...
متن کاملPosterior subcapsular cataracts and macular lesions after long-term corticotrophin therapy.
POSTERIOR subcapsular cataracts in patients receiving long-term oral corticosteroid therapy have been reported by several workers (Black, Oglesby, Sallmann, and Bunim, 1960; Gordon, Kammerer, and Freyberg, 1961; Giles, Mason, Duff, and McLean, 1962; Toogood, Dyson, Thompson, and Mularchyk, 1962; Crews, 1963). Increased intra-ocular pressure has also been noted (Alfano, 1963; Becker and Shaffer,...
متن کامل