Shivanand R Hadimani, Hardeep Kaur, Amit J Shinde, Tonmoy Chottopadhyay
{"title":"角膜塑形镜的生活质量和视力评估","authors":"Shivanand R Hadimani, Hardeep Kaur, Amit J Shinde, Tonmoy Chottopadhyay","doi":"10.4103/sjopt.sjopt_157_23","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i> < 0.001). Best spectacle-corrected low-contrast VA improved from 0.68 ± 0.22 logMAR to 00.47 ± 0.10 logMAR with scleral lenses (<i>P</i> < 0.001). Along with the increase in overall median scores on the NEI VFQ-25 from 1735 to 2930 points (<i>P</i> < 0.001), the distance and near activities (<i>P</i> < 0.001), vision-specific mental health (<i>P</i> < 0.002), social functioning (<i>P</i> < 0.004), and driving (<i>P</i> < 0.005) improved after using scleral lenses for 3 months.</p><p><strong>Conclusion: </strong>Scleral lenses can be an effective and safe management option for patients with keratoconus leading to an improved vision and QOL.</p>","PeriodicalId":46810,"journal":{"name":"Saudi Journal of Ophthalmology","volume":"38 2","pages":"173-178"},"PeriodicalIF":1.2000,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232749/pdf/","citationCount":"0","resultStr":"{\"title\":\"Quality of life and vision assessment with scleral lenses in keratoconus.\",\"authors\":\"Shivanand R Hadimani, Hardeep Kaur, Amit J Shinde, Tonmoy Chottopadhyay\",\"doi\":\"10.4103/sjopt.sjopt_157_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (<i>P</i> < 0.001). Best spectacle-corrected low-contrast VA improved from 0.68 ± 0.22 logMAR to 00.47 ± 0.10 logMAR with scleral lenses (<i>P</i> < 0.001). Along with the increase in overall median scores on the NEI VFQ-25 from 1735 to 2930 points (<i>P</i> < 0.001), the distance and near activities (<i>P</i> < 0.001), vision-specific mental health (<i>P</i> < 0.002), social functioning (<i>P</i> < 0.004), and driving (<i>P</i> < 0.005) improved after using scleral lenses for 3 months.</p><p><strong>Conclusion: </strong>Scleral lenses can be an effective and safe management option for patients with keratoconus leading to an improved vision and QOL.</p>\",\"PeriodicalId\":46810,\"journal\":{\"name\":\"Saudi Journal of Ophthalmology\",\"volume\":\"38 2\",\"pages\":\"173-178\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-10-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11232749/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Saudi Journal of Ophthalmology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/sjopt.sjopt_157_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Saudi Journal of Ophthalmology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/sjopt.sjopt_157_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}
Quality of life and vision assessment with scleral lenses in keratoconus.
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.
期刊介绍：
Saudi Journal of Ophthalmology is an English language, peer-reviewed scholarly publication in the area of ophthalmology. Saudi Journal of Ophthalmology publishes original papers, clinical studies, reviews and case reports. Saudi Journal of Ophthalmology is the official publication of the Saudi Ophthalmological Society and is published by King Saud University in collaboration with Elsevier and is edited by an international group of eminent researchers.
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