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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 30-32

Keratoconus in Marfan syndrome: Is it a paradox?

1 Medical Officer, Cornea and Refractive Services, Aravind Eye Hospital, Pondicherry, India
2 Cornea Fellow, Cornea and Refractive Services, Aravind Eye Hospital, Pondicherry, India

Correspondence Address:
Dr. Bidisha Mahapatra
Department of Cornea and Refractive Services, Aravind Eye Hospital, Thavalakuppam, Pondicherry- 605 007
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_616_21

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Ocular manifestations of Marfan syndrome (MFS) include features such as ectopia lentis (most common), increased axial length, and flat cornea. Reports of keratoconus in such patients are limited. We report tomographic findings consistent with keratoconus in a patient with MFS. A 15-year-old male presented with gradually progressive decreased vision in both eyes. External physical features being consistent with MFS, on ocular examination, was found to have very high average keratometries bilaterally with tomographic evidence of advanced keratoconus. Although a rare presentation, concurrent MFS and keratoconus should be considered when reviewing the ocular health of MFS patients and appropriate management steps should be taken upon the diagnosis.

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