What may be the probable diagnosis ? Identify the clinching sign from the image?

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KERATOCONUS THE SIGN IS MUNSANS SIGN THAT IS DSTORSION OF LOWER LID MARGIN CAUSED BY BULGED COREA WHEN PATIENT LOOKS IN DOWNWARD GAZE

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Dx: Keratoconus. Sign: Munson's sign: Localised bulging of lower lid when patient looks down. Seen in late stage of keratoconus.

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The clinching sign of keratoconus is presence of Munson sign

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My zen sign,advanced case of keratoconus

Keratoconus Sign: munson's sign

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Munson's sign in Keratoconus

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Munsons sign Keratoconus

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Munso’s sign keratoconus

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Keratoconus Munson's sign

Keratoconus Munsun sign

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