A 65-year-old Caucasian male was referred for suspected keratoconus with Fleischer ring in both eyes. He had worn hard contact lenses since 1975 and recently changed to rigid gas permeable lens due to intolerance towards hard lens. His family history revealed that his son was diagnosed as having keratoconus. His best contact lens corrected visual acuity was 6/9 and 6/6 in the right and left eye, respectively. Slit-lamp examination revealed paracentral thinning, Vogt striae …