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Keratoconus

A 24-year-old man presents with progressive blurred vision and frequent changes in spectacle prescription. Retinoscopy shows a scissors reflex. Corneal topography reveals inferior steepening. Outline diagnosis and management steps.

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Rigid gas permeable or scleral contact lenses improve vision

Keratoplasty if advanced scarring/ectasia

Regular topography follow-up for progression

Corneal topography: asymmetric inferior steepening, thinning

Corneal collagen cross-linking to halt progression

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