26yo indigenous male with bilateral extreme keratoconus
Working in outback Australia – North Queensland and Northern Territory.
OD: +3.75 / -4.75 x 62 (6/9) (UA 6/15)
OS: +3.00 / -4.50 x 135 (6/60-) (UA 6/CF=)
Hallmark Signs
- Fleischer Ring
- Vogt’s Striae
- Central stromal thinning
- Prominent Corneal Nerves – easy to see on dark iris backdrop
- Anterior Stromal Scars
Contact lens parameters
- Gelflex 18.50 mini-sclearl RGP in Harmony Plus material
- OD: 7.80/12.50/14.50/18.50/+3.50 CT 220um Sag 5774um (6/6=)
- OD: 7.50/12.50/14.50/18.50/+2.00 CT 220um Sag 6049um (6/9)
- Goal of apical clearance 150-250um