Abstract
This article is a historical and prospective review of keratoconus and ectatic corneal diseases. It covers definitions and terminology, the prevalence of keratoconus, predisposing factors, diagnosis, differential diagnosis, management, classifications, and progression criteria. It highlights other aspects of the disease that are usually over-missed, including the psychological, social, and economic impact. This review presents the information chronically in terms of the first author. It concludes by possessing the challenges and difficulties that are still to be overcome and suggests a plan.