Keratoconus is a progressive corneal ectasia that may lead to severe visual impairment. Superior keratoconus (SK) is an uncommon form of the disease, and few cases have been reported thus far. We present an unusual SK case and a literature review of this rare diagnosis. A 49-year-old man presented to the ophthalmology clinic complaining of decreased vision in his right eye. Previous medical and ocular histories included medically treated attention-deficit hyperactivity disorder (ADHD) and…