Management profile among Keratoconus – A Retrospective study

Abstract

Purpose: To report the profile management options of the Keratoconus patients who attended in the tertiary eye care center in the year 2021 and to analyze the practice patterns that are considered to be ideal in the management of Keratoconus.

Methods: The data were collected retrospectively and this was a cross-sectional study. The data collected for all patients attending a tertiary eye hospital in the year July 2021 were reviewed and data were collected on the patient demographics, chief complaints, associated clinical conditions, visual acuity, corneal signs of Keratoconus, corneal topography data, and the management with contact lens; type of contact lens prescribed and the contact lens visual acuity was assessed along with others parameters of the contact lens measurement were considered. Descriptive statistics were used to describe the profile of the patients and understand the severity of Keratoconus and the parameters of the contact lenses selected.

Results: There was a total of 31 patients who were diagnosed with bilateral Keratoconus based on the clinical signs of Keratoconus and corneal topography. The mean age was 20.1+6.86. The association with eye rubbing/VKC was found in 25.8% of the total population. The majority of the patients were managed with RGP lenses.

  • Page Number : 47-52

  • Published Date : 2024-04-10

  • Keywords
    Keratoconus, RGP lenses, Corneal topography, Eye care

  • DOI Number
    10.15415/jmrh.2022.82005

  • Authors
    Nayan Gupta, Astha Mishra, Shankar Mehra

References

  • Assadpour, M., Nabovati, P., Hashemi, H., Rafati, S., Yekta, A., Jafarzadehpur, E., & Khabazkhoob, M. (2020). Comparison of corneal higher-order aberrations between miniscleral and hybrid lenses in keratoconus. Optometry and Vision Science, 97(9), 749-753.
  • Athreya, P. K. (2018). Recent Advancements in Corneal Ectatic Conditions and their Management: A Mini Review. J Ocul Infect Inflamm, 2(101), 2.
  • Barbara, R., Turnbull, A. M., Malem, A., Anderson, D. F., Hossain, P., Konstantopoulos, A., & Barbara, A. (2019). Epidemiology of keratoconus. Controversies in the Management of Keratoconus, 1-16.
  • Chan, C. (2020). Corneal cross-linking for keratoconus: current knowledge and practice and future trends. The Asia-Pacific Journal of Ophthalmology, 9(6), 557-564.
  • Efron, N. (2018). Contact Lens Complications E-Book. Elsevier Health Sciences.
  • Fan, R., Chan, T. C., Prakash, G., & Jhanji, V. (2018). Applications of corneal topography and tomography: a review. Clinical & experimental ophthalmology, 46(2), 133-146.
  • Gogri, P., & Bhombal, F. A. (2020). A new technique for fitting of tricurve rigid gas-permeable contact lens in penetrating keratoplasty eyes using Scheimpflug imaging. Indian Journal of Ophthalmology, 68(6), 1057.
  • Gustafsson, I., Bergström, A., Myers, A. C., Ivarsen, A., & Hjortdal, J. (2020). Association between keratoconus disease severity and repeatability in measurements of parameters for the assessment of progressive disease. PLoS One, 15(2), e0228992.
  • Jackson, T. L. (Ed.). (2019). Moorfields manual of ophthalmology. JP Medical Ltd.
  • Katsoulos, K., Rallatos, G. L., & Mavrikakis, I. (2018). Scleral contact lenses for the management of complicated ptosis. Orbit, 37(3), 201-207.
  • Lim, L., & Lim, E. W. L. (2020). Current perspectives in the management of keratoconus with contact lenses. Eye, 34(12), 2175-2196.
  • Mahmoud, M. E. A., Hamza, I. E., Assaf, A. H., & Eliwa, T. F. (2018). Posterior corneal astigmatism changes in cases with keratoconus. The Egyptian Journal of Hospital Medicine, 72(10), 5433-5437.
  • Mathan, J. J., Gokul, A., Simkin, S. K., Meyer, J. J., Patel, D. V., & McGhee, C. N. (2020). Topographic screening reveals keratoconus to be extremely common in Down syndrome. Clinical & Experimental Ophthalmology, 48(9), 1160-1167.
  • Musgrave, C. S. A., & Fang, F. (2019). Contact lens materials: a materials science perspective. Materials, 12(2), 261.
  • Olivo-Payne, A., Abdala-Figuerola, A., Hernandez-Bogantes, E., Pedro-Aguilar, L., Chan, E., & Godefrooij, D. (2019). Optimal management of pediatric keratoconus: challenges and solutions. Clinical ophthalmology, 1183-1191.
  • Otten, H. M., van der Linden, B. J., & Visser, E. S. (2018). Clinical performance of a new bitangential mini-scleral lens. Optometry and Vision Science, 95(6), 515-522.
  • Patil, M., & Mehta, J. S. (2020). Lamellar keratoplasty for advanced keratoconus. The Asia-Pacific Journal of Ophthalmology, 9(6), 580-588.
  • Pavlatos, E., Chen, S., Yang, Y., Wang, Q., Huang, D., & Li, Y. (2020). A coincident thinning index for keratoconus identification using OCT pachymetry and epithelial thickness maps. Journal of Refractive Surgery, 36(11), 757-765.Majumdar, A. Genetics and Keratoconus.
  • Roongpoovapatr, V., Abou Shousha, M., & Charukamnoetkanok, P. (2020). Keratoconus Treatment Toolbox: An Update. In Eyesight and Imaging-Advances and New Perspectives. IntechOpen.
  • Rubinfeld, R. S., Caruso, C., & Ostacolo, C. (2019). Corneal cross-linking: the science beyond the myths and misconceptions. Cornea, 38(6), 780-790.
  • Salem, B. R., & Solodovnikov, V. I. (2019). Decision support system for an early-stage keratoconus diagnosis. In Journal of Physics: Conference Series 1419(1), 12-23.
  • Saraç, Ö., Kars, M. E., Temel, B., & Çağıl, N. (2019). Clinical evaluation of different types of contact lenses in keratoconus management. Contact Lens and Anterior Eye, 42(5), 482-486.
  • Şengör, T., & Kurna, S. A. (2020). Update on contact lens treatment of keratoconus. Turkish Journal of Ophthalmology, 50(4), 234.
  • Shehata, A. E., Foster, J. W., Jun, A. S., & Soiberman, U. S. (2020). The correlation between corneal findings and disease severity in keratoconus per Scheimpflug corneal tomography. Journal of Ophthalmology, 2020.
  • Toprak, I., Cavas, F., Velazquez, J. S., Alio del Barrio, J. L., & Alio, J. L. (2020). Subclinical keratoconus detection with three‐dimensional (3‐D) morphogeometric and volumetric analysis. Acta Ophthalmologica, 98(8), e933-e942.
  • Vincent, S. J., & Fadel, D. (2019). Optical considerations for scleral contact lenses: A review. Contact Lens and Anterior Eye, 42(6), 598-613.