DR. SUSHANK BHALERAO

DR.PRATIK GOGRI, DR. UMA THIGALE, DR. PRERANA SHETTY

Abstract

In this case, 11 year old female presented to the clinic with blurring of vision at a distance in both eyes since 2 years. All preliminary examinations were recorded. Retinoscopy revealed split reflex in both eyes. Both anterior and posterior segment findings seem to be within normal limits except for the microcornea. Topography depicts an asymmetric bow tie with superior steeping in both eyes. This case was diagnosed as pure microphthalmos associated with irregular corneal curvature, suggestive of keratoconus without corneal thinning with the help of topography and biometric measurements. In this case, we discussed corneal topography in detail for pure microphthalmia and the challenges faced in fitting contact lenses. Conventional fitting method is better than software-based fitting method when there is abnormal lid position and corneal size. Software-based fitting method reduces the chair time of the patient, but it will not take tear film and lid characteristics into account.