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A 16-year-old man presented at our institute with progressive reduction of vision acuity in both eyes. This patient presented to our corneal service with clinical and topographical features of bilateral superior keratoconus. The clinical features, topographical, Scheimpflug and photographs images findings of a asymmetric bilateral superior keratoconus are presented. A 16-year-old man presented at our institute with progressive reduction of vision acuity in both eyes. This patient presented to our corneal service with clinical and top

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