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Topography in a teenager whose glasses keep changing

Corneal topographyadvanced

A 17-year-old with atopy and eye rubbing whose astigmatism has increased at each of three visits.

Keratoconus on corneal topography: Inferior island of steepening on the sagittal curvature map

Diagnosis

Keratoconus on corneal topography

  • Inferior island of steepening on the sagittal curvature map
  • Asymmetric bow tie with the steep axis skewed
  • Thinnest point displaced inferotemporally on the pachymetry map
  • Minimum thickness about 430 microns