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Achondroplasia associated with bilateral keratoconus.
[achondroplasia]
We
report
a
rare
case
of
bilateral
keratoconus
in
association
with
achondroplasia
.
A
26
-
year
-old
male
,
with
a
known
case
of
achondroplasia
,
complained
of
bilateral
gradual
deterioration
in
vision
for
the
past
few
years
.
Slit
lamp
biomicroscopy
showed
bilateral
central
corneal
protrusion
and
stromal
thinning
at
the
apex
consistent
with
keratoconus
.
a
trial
of
hard
contact
lens
fitting
failed
to
improve
VA
in
the
left
eye
(
LE
)
.
Right
eye
(
RE
)
improved
to
20
/
25
.
The
patient
underwent
penetrating
keratoplasty
(
PKP
)
in
his
LE
.
Twenty
-
seven
months
postoperatively
,
uncorrected
visual
acuity
(
UCVA
)
was
20
/
30
.
Ophthalmologists
should
be
aware
that
patients
with
achondroplasia
who
complain
of
poor
vision
should
be
suspected
of
having
keratoconus
once
other
more
common
conditions
are
ruled
out
.
Diseases
Validation
Diseases presenting
"poor vision"
symptom
achondroplasia
gm1 gangliosidosis
oculocutaneous albinism
This symptom has already been validated
