Keratoconic patient profile and management at public sector facilities in South Africa

difference of 7.59 ± 6.08 D ( p < 0.001) between the better and the worse eye. The study found no significant difference in KC severity by age ( p = 0.451 ) and gender ( p = 0.819 ). Patients fitted with scleral lenses had the highest VA improvement of 0.44 ± 0.17. Conclusion: Most patients presented with bilateral and severe KC. Scleral lenses provided higher VA improvement than other methods. Contribution: The study aimed to present the clinical profile and management of keratoconic patients attending public sector facilities. Knowledge of the patterns of KC presentation may assist in the development of intervention strategies and guidelines for best practice in the management of KC, especially in public sector facilities.