Quality of life and vision assessment with scleral lenses in keratoconus.

Autor:	Hadimani SR; School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India., Kaur H; School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India., Shinde AJ; School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India., Chottopadhyay T; School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India.
Jazyk:	angličtina
Zdroj:	Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society [Saudi J Ophthalmol] 2023 Oct 24; Vol. 38 (2), pp. 173-178. Date of Electronic Publication: 2023 Oct 24 (Print Publication: 2024).
DOI:	10.4103/sjopt.sjopt_157_23
Abstrakt:	Purpose: The purpose of the study is to evaluate the visual outcomes and improvement in quality of life (QOL) of patients with keratoconus with scleral lenses. Methods: In this prospective study, 14 patients (28 eyes) with bilateral keratoconus were fitted with scleral lenses (McAsfeer 16.00 mm) in Pune city, Maharashtra, India. Uncorrected visual acuity (VA), best spectacle-corrected VA, and VA with scleral lenses were evaluated. The patients were given the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) for judging the QOL, before and after using scleral lenses for 3 months. Results: The mean uncorrected VA of the 14 patients with a mean age of 28.64 ± 6.57 years was 1.18 ± 0.19 logMAR. Best spectacle-corrected high-contrast VA improved from 0.47 ± 0.25 logMAR to 0.03 ± 0.07 logMAR with scleral lenses ( P < 0.001). Best spectacle-corrected low-contrast VA improved from 0.68 ± 0.22 logMAR to 00.47 ± 0.10 logMAR with scleral lenses ( P < 0.001). Along with the increase in overall median scores on the NEI VFQ-25 from 1735 to 2930 points ( P < 0.001), the distance and near activities ( P < 0.001), vision-specific mental health ( P < 0.002), social functioning ( P < 0.004), and driving ( P < 0.005) improved after using scleral lenses for 3 months. Conclusion: Scleral lenses can be an effective and safe management option for patients with keratoconus leading to an improved vision and QOL. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Saudi Journal of Ophthalmology.)
Databáze:	MEDLINE
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