Vision-related quality of life among patients with keratoconus: a cross sectional study

Abstract

PurposeThe present study aimed to evaluate the quality of life of keratoconus patients residing in Nablus city, Palestine. Furthermore, we investigated the possible correlation between Pentacam topographic indices and the quality of life of patients with keratoconus.MethodsThis cross-sectional study evaluated keratoconus patients at An-Najah University Hospital in 2019, diagnosed through clinical examination and corneal tomography. A control group was randomly selected from non-keratoconus patients with normal tomography. The NEI-VFQ-25 questionnaire was administered during face-to-face interviews to compare both groups. NEI-VFQ-25 assesses vision-related quality of life and is a validated tool.ResultsKeratoconus patients’ quality of life is significantly impacted, mainly in near and distant vision, general vision, mental health, and social health, but not in general health, ocular pain, color vision, role difficulties, or dependency. Visual acuity is significantly affected in both eyes of keratoconus patients.ConclusionPatients with keratoconus exhibit a decreased quality of life related to vision, with physical, emotional, and social impairments demonstrated by the NEI-VFQ-25 when compared to controls. Since keratoconus patients are typically young adults in their productive years, understanding their concerns about their future is an important public health aspect that can aid in modifying their treatments. By addressing the specific needs of this patient population, healthcare providers can better support their long-term well-being and quality of life.

Barriers to the Diagnosis and Management of Keratoconus Among Optometrists in Kenya [Letter]

“…As medical students in the UK with keen interests in global health and improving patient outcomes, we find the research to be a significant contribution to our understanding of the optometric landscape in Kenya, particularly concerning Keratoconus - a progressive eye condition characterised by the thinning and bulging of the cornea into a cone-like shape, impacting visual acuity and vision-related quality of life. 2 , 3 …”

“…As medical students in the UK with keen interests in global health and improving patient outcomes, we find the research to be a significant contribution to our understanding of the optometric landscape in Kenya, particularly concerning Keratoconus -a progressive eye condition characterised by the thinning and bulging of the cornea into a cone-like shape, impacting visual acuity and vision-related quality of life. 2,3 The study has identified challenges such as the need for more access to advanced diagnostic equipment, limited continuous professional development opportunities, and the absence of standardised national guidelines. 1 By highlighting these issues, the research showcases the specific needs of optometrists and also the broader implications for patient care, including prevention, early detection and management.However, upon reflection of the study's methodology, 1 we propose areas for improvement that could further display the rationale and enrich our understanding and approach to overcoming these barriers.…”