“…These findings are consistent with previous findings linking vision-associated QoL scores to vision in the better eye. 9 , 11 , 22 , 25 Keratoconus progressively diminishes vision quality, 8 , 13 in agreement with findings that distance-corrected or binocular entrance visual acuity less than 20/40, corneal thinning to less than 460 μm in the better eye, and an average refractive cylinder of less than 2.5 dioptres, are associated with severe deterioration in all vision-associated QoL scores, 8 , 9 , 10 except ocular pain and general health. 8 All regions other than the northern region had higher odds of better QoL scores, and the eastern region had almost twice the odds of both the western and southern regions.…”