Purpose: To report three patients (four eyes) with hyperopic keratoconus.
Methods: Patients were evaluated with corneal curvature topography, ultrasonic pachymetry, and rotating Scheimpflug camera.
Results: One patient, without other risk factors, developed unilateral ectasia after LASIK following primary hyperopic ablation in an eye suspicious for keratoconus.
Purpose: To describe a novel topographic curvature pattern, vertical D, which was present in some keratoconus suspects. This pattern was detected retrospectively in 2 patients who developed post-LASIK ectasia and prospectively in 4 patients who had other corneal abnormalities suggestive of keratoconus.
Design: Retrospective interventional case series and prospective cross-sectional study.