Blepharoptosis-induced superior keratoconus

PURPOSE: This clinical case report demonstrates blepharoptosis-induced corn eal steepening and its subsequent resolution after blepharoptosis surgery. METHODS: A 62-year-old man complaining of blurred vision without apparent c ause on clinical examination underwent keratometry and computerized corneal topography, which revealed superior corneal steepening in both eyes. Bilat eral upper eyelid blepharoptosis surgery was performed. RESULTS: Three months after blepharoptosis surgery, repeat computerized cor neal topography revealed normal corneal contours with improved vision in bo th eyes. CONCLUSIONS: Blepharoptosis is a common condition that may induce superior corneal ectasia that is not evident by manifest refraction, slit-lamp exami nation, or keratometry, Computerized corneal topography can help detect suc h subtle corneal abnormalities and guide therapy, (C) 2000 by Elsevier Scie nce Inc. All rights reserved.