Dr.Neha Bajpayee

Dr.Sachin Daigavane

Abstract

We report a case of 45 year old female who presented in ophthalmology out patient department with complaints of diminution of vision in right eye since 8 months and in left eye since 12 months. . On examination , patient had buldging of cornea and positive Munson’s sign. Patient central and peripheral corneal thickness was measured and corneal topography was performed.Keratoglobus can be congenital or acquired. Congenital form always is associated with connective tissue disorder like Ehlers danlos syndrome type 4 and blue sclera syndromes and acquired form occur in later stage of life and can be associated with keratoconjunctivitis,pellucid marginal degeneration, and is a severe form of keratoconus. Due to keratoconus in these patients corneal thickness is compromised, thus , proper evaluation of cornea is needed. Since prevalence of keratoglobus in central india in 2.3% , and association of this with keratoconus makes this case more unusual to study and report.