Figure 1
This is the eye of a young man with a history of hard contact lens use and a high degree of astigmatism who presented with acute pain and blurring of vision.
Questions
1. What is the diagnosis?
2. What is the anatomic cause of this clinical finding?
3. What is the acute management of the above finding?
4. What is the natural history of this conditon?
5. When would corneal transplantation be indicated?