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Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)

BACKGROUND: Keratoconus is a disease characterized by progressive corneal distortion and quality of vision. So far, no study using disease-specific scales has evaluated whether different stages of the disease correlate with higher quality of life (QoL) compromise. METHODS: A total of 114 patients wi...

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Autores principales: Balparda, Kepa, Herrera-Chalarca, Tatiana, Silva-Quintero, Laura Andrea, Torres-Soto, Sneider Alexander, Segura-Muñoz, Laura, Vanegas-Ramirez, Claudia Marcela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335300/
https://www.ncbi.nlm.nih.gov/pubmed/32636612
http://dx.doi.org/10.2147/OPTH.S261785
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author Balparda, Kepa
Herrera-Chalarca, Tatiana
Silva-Quintero, Laura Andrea
Torres-Soto, Sneider Alexander
Segura-Muñoz, Laura
Vanegas-Ramirez, Claudia Marcela
author_facet Balparda, Kepa
Herrera-Chalarca, Tatiana
Silva-Quintero, Laura Andrea
Torres-Soto, Sneider Alexander
Segura-Muñoz, Laura
Vanegas-Ramirez, Claudia Marcela
author_sort Balparda, Kepa
collection PubMed
description BACKGROUND: Keratoconus is a disease characterized by progressive corneal distortion and quality of vision. So far, no study using disease-specific scales has evaluated whether different stages of the disease correlate with higher quality of life (QoL) compromise. METHODS: A total of 114 patients with a confirmed diagnosis of Keratoconus were included in this retrospective study. All patients underwent a clinical and a Pentacam evaluation. They were also administered the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ). Belin ABCD criteria were used for Keratoconus classification. “Better eye” was defined as the eye with the lowest maximum keratometry value. Spearman Rank Order Correlation was used to determine the correlation between the different Belin criteria and the KEPAQ scores in both subscales. RESULTS: Mean age was 28.13 ± 11.57 years, with 39.47% of patients being male. Mean score for the KEPAQ-E was 2.33 ± 3.40 Logit, while for the KEPAQ-F, it was 1.85 ± 3.61 Logit. Criteria A (anterior elevation), B (posterior elevation) and D (visual acuity) in the worse eye correlated significantly with a greater decrease in QoL (p < 0.05 for all correlations). No correlation could be found regarding the better eye. CONCLUSION: A greater corneal distortion in the worse eye, as determined by Belin ABCD, is associated with a greater decrease in patient’s QoL. Surgical improvement of the worse eye should probably be performed before surgery of the better eye, as it may provide a better response regarding the quality of life improvement.
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spelling pubmed-73353002020-07-06 Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ) Balparda, Kepa Herrera-Chalarca, Tatiana Silva-Quintero, Laura Andrea Torres-Soto, Sneider Alexander Segura-Muñoz, Laura Vanegas-Ramirez, Claudia Marcela Clin Ophthalmol Original Research BACKGROUND: Keratoconus is a disease characterized by progressive corneal distortion and quality of vision. So far, no study using disease-specific scales has evaluated whether different stages of the disease correlate with higher quality of life (QoL) compromise. METHODS: A total of 114 patients with a confirmed diagnosis of Keratoconus were included in this retrospective study. All patients underwent a clinical and a Pentacam evaluation. They were also administered the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ). Belin ABCD criteria were used for Keratoconus classification. “Better eye” was defined as the eye with the lowest maximum keratometry value. Spearman Rank Order Correlation was used to determine the correlation between the different Belin criteria and the KEPAQ scores in both subscales. RESULTS: Mean age was 28.13 ± 11.57 years, with 39.47% of patients being male. Mean score for the KEPAQ-E was 2.33 ± 3.40 Logit, while for the KEPAQ-F, it was 1.85 ± 3.61 Logit. Criteria A (anterior elevation), B (posterior elevation) and D (visual acuity) in the worse eye correlated significantly with a greater decrease in QoL (p < 0.05 for all correlations). No correlation could be found regarding the better eye. CONCLUSION: A greater corneal distortion in the worse eye, as determined by Belin ABCD, is associated with a greater decrease in patient’s QoL. Surgical improvement of the worse eye should probably be performed before surgery of the better eye, as it may provide a better response regarding the quality of life improvement. Dove 2020-06-30 /pmc/articles/PMC7335300/ /pubmed/32636612 http://dx.doi.org/10.2147/OPTH.S261785 Text en © 2020 Balparda et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Balparda, Kepa
Herrera-Chalarca, Tatiana
Silva-Quintero, Laura Andrea
Torres-Soto, Sneider Alexander
Segura-Muñoz, Laura
Vanegas-Ramirez, Claudia Marcela
Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title_full Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title_fullStr Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title_full_unstemmed Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title_short Both Subjective Emotional Distress and Visual Handicap Correlate with Belin ABCD Classification in the Worse Eye as Measured with the “Keratoconus End-Points Assessment Questionnaire” (KEPAQ)
title_sort both subjective emotional distress and visual handicap correlate with belin abcd classification in the worse eye as measured with the “keratoconus end-points assessment questionnaire” (kepaq)
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335300/
https://www.ncbi.nlm.nih.gov/pubmed/32636612
http://dx.doi.org/10.2147/OPTH.S261785
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