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Keratoconus in pre-teen children: Demographics and clinical profile.
- Source :
-
Indian Journal of Ophthalmology . Oct2022, Vol. 70 Issue 10, p3508-3513. 6p. - Publication Year :
- 2022
-
Abstract
- <bold>Purpose: </bold>To study the demographics and clinical profile of keratoconus (KC) presenting in pre-teen children in India.<bold>Methods: </bold>This was a retrospective case series conducted as a single-institutional study at a tertiary eye center in India. A total of 586 eyes from 294 KC patients (aged 12 years or less) without any active comorbid conditions of the eye were included in the study. Slit-lamp biomicroscopy was used to document the clinical signs of KC. Information on age; gender; reason for consultation; family history; history of allergy, atopy, and eye rubbing; manifest refraction; uncorrected and best-corrected distance visual acuity (UCVA and BCVA, respectively); clinical presentation; and contact lens usage were also analyzed, along with data on types of medical and surgical treatments for KC and their outcomes.<bold>Results: </bold>The mean age of this pediatric KC patient cohort was 9.3 ± 1.8 years, and there was a male (70%) preponderance. Baseline mean UCVA, BCVA, steep keratometry, and flat keratometry were 0.86 ± 0.58 logMAR, 0.44 ± 0.38 logMAR, 54.82 ± 8.4 D, and 48.21 ± 9.5 D, respectively. Progression, necessitating collagen crosslinking (CXL), was noted in 12.7% eyes. Post-CXL, visual and topographic parameters remained stable without any complications till 6 months posttreatment. However, in eyes that did not undergo CXL, significant progression over time (P < 0.001) was observed. A keratoplasty was required in 2.3% eyes.<bold>Conclusion: </bold>KC was present at an advanced stage in 25% of the pre-teens in our series, and therefore, it is an important diagnostic entity when a refractive error is diagnosed, even in very young children. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 03014738
- Volume :
- 70
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Indian Journal of Ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 159608225
- Full Text :
- https://doi.org/10.4103/ijo.IJO_2579_21