Severe Keratoconus: Watch Out for Complications!

Keratoconus is an evolving condition. The speed and severity of the course differs from patient to patient. We report clinical observation a 36-year-old with history severe atopy who presents neglected bilateral keratoconus. examination found sign Munson Rizzuti, corneal protrusion being more marked in left eye. Biomicroscopic revealed opacity central right eye thinning. In eye, there was stromal neovascularization, superficial deep scar lines, epithelial microcystic edema intrastromal cyst. This finding correspond anterior segment OCT Sandali stage 4 both eyes. Penetrating keratoplasty proposed for treatment. Subconjunctival injections 2.5 mg bevacizumab were also undertaken at 1 month intervals. advent modern imaging techniques has enabled early diagnosis keratoconus as well its monitoring screening complications. New classifications aim pathology better codify management. most serious complication occurrence hydrops. Adequate management latter avoids complications including fibrosis which improves prognosis subsequent remains last resort these patients.