University of Iowa Health Care

Ophthalmology and Visual Sciences

EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Cornea

Keratoconus with Munson's sign, left eye

keratoconus with Munson's sign OS

Keratoconus is present in both eyes. However, Munson's sign (bowing of the lower lid upon downgaze) is apparent in left eye only.

keratoconus with Munson's sign OS

keratoconus with Munson's sign OS

This female Caucasian demonstrated the typical findings with keratoconus: There was conical ectasia (bulging) with an irregular myopic astigmatism. Keratoconus is sometimes called ectatic corneal dystrophy. 70% of the cases occur in females.

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last updated: 06-02-2017; originally posted 02-08-2008
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