Vision related quality of life in keratoconus patients with intra stromal corneal ring segments implantation

BACKGROUND: To evaluate the vision-related quality of life in keratoconus patients who had undergone intrastromal-corneal-ring-segment (ICRS) implantation using the Persian version of Vision-Function-Questionnaire-25. METHODS: In a cross-sectional study, 20 keratoconus patients, mean age 33.50 ± 5.5...

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Main Authors: Sahar Mohaghegh, Shahram Bamdad, Haleh Kangari, Mohammad Reza Khalili, Sharafat Javaheri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-05-01
Series:Oman Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/ojo.ojo_228_23
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Summary:BACKGROUND: To evaluate the vision-related quality of life in keratoconus patients who had undergone intrastromal-corneal-ring-segment (ICRS) implantation using the Persian version of Vision-Function-Questionnaire-25. METHODS: In a cross-sectional study, 20 keratoconus patients, mean age 33.50 ± 5.50 years old, managed with bilateral ICRS implantation were included. Thirty age- and sex-matched normal individuals mean age of 30.00 ± 6.20 years old were included in the control group. The binocular visual acuity and vision-related quality of life were compared between the ICRS and control groups. The Persian version of Vision-Function Questionnaire-25 was applied. RESULTS: The mean binocular best corrected visual acuity in the keratoconus group was 0.06 ± 0.08 logarithm of the minimum angle of resolution (LogMAR), and in normal individuals was 0.00 ± 0.00 LogMAR, (P = 0.001). The mean total score of Vision-Function-Questionnaire-25 in the ICRS group was 81.00 ± 14.00, and in the control group was 90.50 ± 8.00 (P = 0.004). The ICRS group showed significantly lower scores in distance vision, near vision, peripheral vision, role limitation, and night-time driving, P < 0.05. The differences in the mean values of social function, dependency, day driving, ocular pain, and color vision were insignificant compared to normal individuals (P > 0.05). CONCLUSION: ICRS implantation can improve some social functions of keratoconus patients to the level of normal individuals; however, visual functions and night driving remain affected compared to normal individuals.
ISSN:0974-620X
0974-7842