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We report a patient of unilateral posterior keratoconus with systemic associations, second such case in the literature. This is the largest case series on posterior keratoconus, depicting its varied features. Diagnosis of this uncommon condition requires a high index of suspicion, meticulous slit-lamp examination, and systemic evaluation to rule out other associated anomalies. We report a patient of unilateral posterior keratoconus with systemic associations, second such case in the literature. To evaluate the reliability of manual annotat
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