A case of brittle cornea syndrome
Brittle cornea syndrome was first described by Stein et al. for two siblings of a consanguineous Tunisian Jewish family, characterized by red hair, blue sclera, and brittle cornea with recurrent spontaneous perforations.

The present case published in the journal BMC Ophthalmology describes a patient who presented with bluish scleral discoloration, keratoconus, and progressive high myopia.

Ophthalmological examination showed that the cornea were obviously prominent, with a significant bluish discoloration of the sclera in both eyes (Fig. 1). The examination of anterior segment eye manifested that an obviously thin cornea with protrusion and the posterior segment was examined by Optosmap Daytona and showed no retinal anomalies or retinal detachment (Fig. 2).

Pentacam HR anterior segment tomography indicated that keratoconus with steepening in both eyes which have a maximum keratometric power of 54.10 D in the right eye and a maximum keratometric power of 54.40 D in the other eye (Fig. 3).

The thinnest point of cornea assessed by Pentacam,which showed that the right eye was 324 μm thickness with corneal astigmatism in topography (− 2.6D at 163 degrees) and 313 μm thickness measured in the other eye with corneal astigmatism in topography (− 2.7D at 172 degrees) (Fig. 3).

Read more about the case here: https://pxmd.co/ix2Hr
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