Abstract

Keratoconus is a bilateral, asymmetric, progressive corneal disease, characterized by progressive thinning and increased curvature.VKC which coincides with KC can significantly induce progression and deterioration of KC. 17yroldmale,engineeringstudent,residentof sonbhadra presented with gradual progressive severe diminuition of vision RE>LE for 2-3yrs.
• Patient wore spectacles prescribed elsewhere but was experiencing less visual comfort on presentation.
• Past history of frequent eye rubbing and itching in both eyes(RE>LE) for 2-3yrs (mostly in summers). Vision 4/60 re 6/24 le
Retinoscopy scissoring reflex be
BCVA-OD -6.00DC at 60 degrees (6/9P)
OS -4.00DC at 120 degrees(6/6)
Munson sign present BE
Rizzuti sign present BE
Giant papillae on upper eyelid BE fleischer ring BE
Vogt’sStriae BE
Prominent corneal nerves BE
Oil droplet reflex BE
Fundus is WNL BE.
On pentacam k1 52.1Dre 44.4Dle
K2 57.3re 49.9le