Keratoconus is a condition in which the cornea of the eye is unable to hold its round shape and it bulges outward, like a cone.It is usually bilateral and present normally at puberty. It is considered rare in children. What you see here is a “oil-droplet” reflex (Charleux sign) which is highly evocative of keratoconus. Image by: https://www.instagram.com/p/CPGWK_IB3rS/?utm_medium=copy_link