Abstract: Terrein’s Marginal Degeneration (TMD) is a rare corneal disorder characterized by peripheral thinning of the cornea, primarily affecting the superior region. TMD is a progressive condition that can lead to significant visual impairment and ocular complications. Its etiology remains largely unknown, and it is often challenging to distinguish from other corneal disorders with similar features. Accurate diagnosis and effective management are crucial for optimizing patient outcomes and preserving visual function. Terrein’s Marginal Degeneration is primarily identified through clinical assessment and advanced imaging, which reveal characteristic peripheral corneal thinning and irregular astigmatism. Complications may include progressive visual impairment, risk of corneal perforation, secondary infections, and psychological effects. Management strategies vary based on disease severity and progression, with options ranging from conservative approaches and corrective lenses to medical therapies and surgical interventions. Effective management of TMD requires a multifaceted approach tailored to individual patient needs. Early diagnosis and intervention are crucial in managing Terrein’s Marginal Degeneration. Timely recognition of the condition can help prevent further visual decline and improve patient outcomes. Regular follow-up with an ophthalmologist is necessary to monitor the progression of the disease and adjust treatment strategies as needed.
Prativa Kunwar, Manish Kumar Sah, Asmita Pela, Alisha Chhantel, Ruchika Sah. Terrein's marginal degeneration: A new perspective on the periphery. Int J Med Ophthalmol 2024;6(2):06-10. DOI: 10.33545/26638266.2024.v6.i2a.196
