Am J Ophthalmol Case Rep
June 2023
Purpose: To present a case of keratoconus progression following gender-affirming hormone therapy.
Observations: A 28-year-old male-to-female transgender patient with potential past ocular history of subclinical keratoconus presented with subacute worsening myopia of both eyes (OU), 4 months after initiation of gender-affirming hormone therapy. A diagnosis of keratoconus was established based on slit-lamp exam and computerized corneal tomography.