Abstract
A 26-year-old female had complaints of left eye monocular diplopia, blurred, wavy vision for 4 months and was diagnosed and managed as Dry eye syndrome outside. She did not improve clinically and presented to us. Routine ophthalmologic evaluations, including keratometry, slit lamp biomicroscopy, and fundoscopy, were done to rule out anterior and posterior segment etiologies. MRI brain and visual fields were done to rule out neurological causes. Provisional diagnosis of unilateral anisometropic amblyopia was made. On LASIK evaluation, she was found to have keratoconus suspect in corneal topography, and diagnosis of posterior keratoconus was confirmed with higher diagnostic tests like optical coherence tomography anterior segment and corneal tomography. She was managed with Cretan plus protocol. One must have a higher index of suspicion toward corneal ectatic disorders in this particular type of symptomatology of young patients.
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