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CASE REPORT
Year : 2020  |  Volume : 68  |  Issue : 4  |  Page : 658-660

Advanced keratoconus in a child with juvenile scleroderma


1 Refractive Surgery Services, LV Prasad Eye Institute, Hyderabad, Telangana, India
2 Contact Lens Services, LV Prasad Eye Institute, Hyderabad, Telangana, India
3 Refractive Surgery Services; Cornea and Anterior Segment Services, LV Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Dr. Sunita Chaurasia
Cornea and Anterior Segment Services, LV Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad - 500 034, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1227_19

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An 18-year-old male presented with complaints of gradually decreasing vision in both eyes for 6 years. He was a diagnosed with juvenile scleroderma at the age of 11 years by a pediatric rheumatologist. Clinical slit lamp examination showed features of ectasia, thinning, Vogt's striae, and apical scarring in both eyes. Bulbar and tarsal conjunctiva was quiet and normal. Corneal tomography revealed mean keratometry 65.8 and 65.4 diopters, thinnest pachymetry of 351 and 224 microns in the right and left eye, respectively. There was no history of itching and eye rubbing in the past. Patients of juvenile scleroderma may have associated keratoconus. The management of advanced keratoconus presents challenges related to handling and insertion of contact lenses in this condition. Keratoplasty is an option in those patients when contact lenses are not acceptable.


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