Is this keratoconus?

The ability to detect early keratoconus and subsequently monitor the cornea for the progression of disease has become an important clinical skill in recent years. This is because the management of keratoconus has significantly changed following the introduction of corneal cross‐linking to halt progression.1 The earlier the keratoconus progression can be stopped, the better the vision‐related quality of life for these mostly young patients. Conversely, missing a diagnosis of early keratoconus in patients seeking refractive surgery can have significant consequences if ectasia subsequently develops.