Terrien's Marginal Degeneration

Question 1

What are the symptoms of Terrien’s?

Answer 1

Often asymptomatic

Question 2

What is the typical presentation of Terriens’?

Answer 2

Usually bilateral
Slowly progressive thinning of peripheral K, typically superior
Men > women

Question 3

What are the common signs of Terrien’s?

Answer 3

Quiet A/C
No injection
May have yellow lipid line
Fine pannus over thinned areas
Irregular or ATR astigmatism

Question 4

What is the typical Tx for Terrien’s?

Answer 4

Correct astigmatism
Protective eyewear for significant thinning
Lamellar grafts if extreme thinning present