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A 29-year-old woman presents with severe myopia and high astigmatism in both eyes that she feels has progressed over the past few years.  She denies history of prior ocular trauma or known eye disease.  On slit lamp examination, she is noted to have an apical corneal scar in her right eye and centrally thinned corneas with iron rings bilaterally.  On down gaze she has the following lower lid distortion.

1.	She most likely has:
	a. an old corneal laceration b. keratoconus c. interstitial keratitis d.  corneal dystrophy
2.	Her best spectacle correction is ount fingers (CF) in both eyes and she can not be fitted for a rigid gas permeable contact lens given the severity of her corneal curvature.  The next surgical option is:
	a. laser assisted in situ keratomileusis (LASIK) b. corneal transplant c. radial keratotomy (RK) d.  limbal relaxing incisions

For answers to the above, click here on or after August 2, 2005.