• Keratoconus progression at 42 without eye rubbing? Description: 42-year-old male with clear evidence of significant keratoconus progression despite the fact that he denies eye rubbing. Cornea imaging documents significant progression of the left eye- more than the right-extensive questioning revealed that he sleeps facedown on his knuckles and thus rubs his eyes during his sleep!!! Discussion of the clinical findings and treatment plan options will be described Subspecialty: Diagnostics and Basic Research Level: Advanced Uploaded By: A. Kanellopoulos