1. Patient AT 30 year old Indian male Allergy Fellow at Duke Diagnosed with KC 8 years ago Tried GP’s in 2003 and were so uncomfortable that could not wear them Has a soft toric lens that occasionally wears but really does not improve vision s/p Intacs OD 2 months ago but unhappy with result Currently wearing glasses only

2. Exam Data Current Prescription OD: -1.50-7.00x059 20/80+2 PH 20/60 OS: +0.50-3.75x110 20/30-1 PH 20/25 Manifest Refraction OD: -5.25-6.00x071 20/50 OS: +2.00-7.00x137 20/25 Auto K’s OD: 47.75/56.25@116 OS: 43.00/50.50@052

3. Corneal Topography OD OS

4. CL Fitting Elected to fit using the Rose K2IC lens from Blanchard OD: 20/25 -7.50 Sph / 6.75 BC / 11.2 OAD OS: 20/20 -3.75 Sph / 7.34 BC / 10.8 OAD flat edge 5 months later OD: 20/25 -5.50 Sph / 6.81 BC / 11.2 OAD ACT 2; flat edge OS: 20/20 -2.00 Sph / 7.34 BC / 10.8 OAD flat edge C/o intermittent redness/irritation OD Changed OD 20/25 -5.75 Sph / 6.81 / 10.8 OAD ACT 1; flat edge Felt that his patients were constantly staring at his red right eye so he gave up on wearing anything OD and functioned with OS lens only