Keratoconus is not an uncommon disorder. It is not a visual threatening disorder but a visual disturbing one. A corneal degeneration characterized by bil non-inflammatory corneal ectasi.

We have base and apex of cone base can become placoid and apex can become niplle type of cornea. The characteristic features of k c are Mansun's sign that is distortion of lower lid margin when the patient looks in downward gaze  Folds and ruptures in des membrane  Visible corneal nerves called as Vogt striae  Feishers ring that is a brownish ring of haemosiderin at the base of a cone    Some of the rare associations of k conus are VK conjunctivitis  KC sicca Retinitis pigmentosa    Sever rubbing    Ectopia lenses  Blue sclera Osteogenesis imperfecta    Downs syndrome  Turners  ED syndrome  Lebers amaurosis    Marfans  Mitral valve prolapse syndrome    Bil k connus has been reported in achondroplasia …