Accepted at 3:30 a.m. Nov, 01, 2023 by blueophthalmology
Author: amrkhaledm
Co-authors: blueophthalmology
Related Note: 1565133571067
Rationale for change

Most recent update of BCSC has no mention f "Against the rule astigmatism" on corneal topography. EyeWiki also mentions that The steepest corneal protrusion in PMD occurs above (central to) the area of stromal thinning, appearing like a "beer belly" in cross section. This results in high and irregular "against-the-rule" astigmatism of up to 20 diopters and a flattening of the vertical meridian. The astigmatism can instead be "with the rule" if the inferior curvature is steeper than the horizontal curvature.

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