In this report, we present a 19-year-old female complaining of bilateral diminution of vision due to refractive error. The uncorrected
visual acuity (UCVA) in the right eye (RE) was 0.3 with best corrected visual acuity (BCVA) to 1 in decimal by a refraction
of -0.50 Ds -1.00 Dc x 15, while the UCVA in the left eye (LE) was 0.3 with best corrected visual acuity (BCVA) to 1 in decimal by a
refraction of -0.75 Ds -1.00Dc x 164. Corneal tomography was performed for both eyes by slit‐scanning Orbscan IIz and the patient
was diagnosed as normal corneal tomography with symmetrical bowtie but Central corneal thickness and thinnest pachymetry were
extremely high. Central corneal thickness was 696 μm in right eye and 690 μm in left eye with normal tomographical maps. Corneal
specular examination was done by non-contact specular microscope to exclude any corneal endothelial abnormality and no abnormality
was detected.