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Vision-related quality of life and dependency in French keratoconus patients: Impact study
- Source :
- Journal of cataract and refractive surgery. 43(12)
- Publication Year :
- 2017
-
Abstract
- Purpose To assess the quality of life in French keratoconus patients. Setting Fifty-seven Keratoconus National Reference Centers across France. Design Prospective case series. Methods Patients completed the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25) and a French validated questionnaire on disability and dependency from February to June 2012 when they came for an ophthalmic examination at 57 participating centers across France. An ocular examination including refraction, corneal topography, pachymetry, and slitlamp biomicroscopy was performed. The composite or global NEI VFQ-25 score and the proportion of patients who were dependent (defined by the difficulties with activities of daily living) because of keratoconus were the main evaluation criteria in this study. Results The study comprised 550 keratoconus patients. Women, corrected distance visual acuity worse than 20/40, steep keratometry higher than 52.0 diopters, history of surgery (corneal transplant, intrastromal corneal ring segments, or corneal crosslinking), and more severe keratoconus according to the Amsler-Krumeich classification were associated with an increasingly negative impact on quality of life (overall scores are significantly lower). Moreover, 4.9% of participants reported having changed their jobs because of keratoconus and 7.8% received keratoconus-related disability. Sixty-nine (12.5%) patients reported having difficulties with activities of daily living and are considered dependent. Conclusion Keratoconus was associated with a significant reduction in quality of life but it did not result in social exclusion.
- Subjects :
- Keratoconus
Visual acuity
Activities of daily living
genetic structures
Visual Acuity
03 medical and health sciences
0302 clinical medicine
Quality of life
Activities of Daily Living
medicine
Humans
Prospective Studies
Prospective cohort study
Dioptre
Vision, Ocular
medicine.diagnostic_test
business.industry
Corneal Transplant
Prostheses and Implants
medicine.disease
Corneal topography
eye diseases
Sensory Systems
Ophthalmology
030221 ophthalmology & optometry
Quality of Life
Optometry
Surgery
sense organs
France
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18734502
- Volume :
- 43
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of cataract and refractive surgery
- Accession number :
- edsair.doi.dedup.....f9a117983f98d839782ea187d4c184e2