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In keratoconus (KC), an increase of the corneal back surface area may result in endothelial cell density (ECD) decrease and an increase of the corneal front surface area in ocular surface temperature (OST) decrease due to increased heat dissipation. Along with these hypotheses, we aimed to analyse the correlation between ECD and central corneal OST in patients with KC and healthy controls. A total of 154 eyes with KC (mean age 36.1±12.5years) and 92 healthy eyes (mean age 36.4±12.8years) were examined. Corneal front and back surface area