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. 2012:2012:573045.
doi: 10.1155/2012/573045. Epub 2012 Dec 4.

Achondroplasia associated with bilateral keratoconus

Ammar M Al Mahmood  1 , Hind M Al Katan, Ghada Y Al Bin Ali, Samar A Al-Swailem
Affiliations

Achondroplasia associated with bilateral keratoconus

Ammar M Al Mahmood et al. Case Rep Ophthalmol Med. 2012.

Abstract

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.

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Figures

Figure 1
Figure 1
Corneal topography of the right and left eyes showing advanced posterior surface elevation and steepening.
Figure 2
Figure 2
Full body photo of the patient.
Figure 3
Figure 3
Histopathological section of corneal button illustrating dehiscence in Bowman's membrane (periodic acid Schiff stain, ×400).
See this image and copyright information in PMC

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