Elbedewy HA, et al. - Authors evaluated the prevalence of keratoconus (KC) and the topographical characteristics of the affected corneas in patients with refractive errors who were seeking refractive surgery in the Egyptian delta. They conducted a retrospective study covering four and half years (Jan 2012–June 2016) where the topographical data of 8,124 participants were obtained from the records of a refractive center in the Nile Delta region, Egypt. In 1.12% of patients seeking refractive surgery, Keratoconus was found, with no gender preference. Most cases had bilateral affection. The most common refractive error to be related to keratoconus was astigmatism.