Moderate to Advanced keratoconus

Corneal shape: Clear ectatic pattern with asymmetric steepening K readings: Kmax ≈ 53.2 D (significantly steep → abnormal) Km ≈ 48.7 D Astigmatism ≈ 2.6 D Corneal thickness: Thinnest pachymetry ≈ 388 µm → markedly thin Thinning is central/paracentral, consistent with keratoconus Elevation maps: Anterior elevation ~ +15 µm (abnormal) Posterior elevation up to ~ +29 µm (strong ectatic sign)