The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study
Anastasios John Kanellopoulos1,2 1Department of Ophthalmology, Laservision.gr, Clinical and Research Eye Institute, Athens, Greece; 2NYU Medical School, Department of Ophthalmology, New York, NY, USA Purpose: The aim of this study was to evaluate the health-related quality of life (HRQoL) before a...
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Dove Medical Press
2019
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oai:doaj.org-article:344785c8669543bbb931dd011e1d74772021-12-02T11:43:22ZThe impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study1177-5483https://doaj.org/article/344785c8669543bbb931dd011e1d74772019-05-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-keratoconus-treatment-with-the-athens-protocol-partial-t-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Anastasios John Kanellopoulos1,2 1Department of Ophthalmology, Laservision.gr, Clinical and Research Eye Institute, Athens, Greece; 2NYU Medical School, Department of Ophthalmology, New York, NY, USA Purpose: The aim of this study was to evaluate the health-related quality of life (HRQoL) before and after the management of keratoconus (KCN) with Combined Topography-Guided Transepithelial partial photorefractive keratectomy (PRK) and corneal Cross-Linking: the Athens Protocol.Patients and methods: Thirty-four consecutive patients treated for progressive KCN were selected for retrospective telephone interview and individual questionnaire submission. A disease-specific HRQoL questionnaire was administered before and after the Athens Protocol intervention, using the following administrative questionnaires: National Eye Institute Visual Function Questionnaire (NEI VFQ) 25/39 and IVI-28. The disease grade was ranked according to the Amsler–Krumeich classification (KCN severity). Reliability of collected data was evaluated with Cronbach’s α test.Results: Patients’ age ranged from 15 to 51 years at the time of the operation. Mean time before the operation during which the questionnaires were administered was 52±6 months. General visual acuity, psychological well-being, and driving ability showed significant improvement. Younger keratoconic patients tend to have more enhanced psychological status and to cope better with difficulties in everyday activities (prior to operation) than older patients.Conclusion: The Athens Protocol treatment has been proven to be beneficial to patients in a large number of aspects. Keywords: KCN, Athens Protocol, topography-guided PRK, quality of life, HRQoL questionnaire, NEI VFQ, IVI-28 Kanellopoulos AJDove Medical PressarticleKeratoconusThe Athens ProtocolCXLtopography guided PRKcorneal ectasiaQuality of lifeAssessment questionnaireVFQVisual Function QuestionnairesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 795-803 (2019) |
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DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Keratoconus The Athens Protocol CXL topography guided PRK corneal ectasia Quality of life Assessment questionnaire VFQ Visual Function Questionnaires Ophthalmology RE1-994 |
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Keratoconus The Athens Protocol CXL topography guided PRK corneal ectasia Quality of life Assessment questionnaire VFQ Visual Function Questionnaires Ophthalmology RE1-994 Kanellopoulos AJ The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| description |
Anastasios John Kanellopoulos1,2 1Department of Ophthalmology, Laservision.gr, Clinical and Research Eye Institute, Athens, Greece; 2NYU Medical School, Department of Ophthalmology, New York, NY, USA Purpose: The aim of this study was to evaluate the health-related quality of life (HRQoL) before and after the management of keratoconus (KCN) with Combined Topography-Guided Transepithelial partial photorefractive keratectomy (PRK) and corneal Cross-Linking: the Athens Protocol.Patients and methods: Thirty-four consecutive patients treated for progressive KCN were selected for retrospective telephone interview and individual questionnaire submission. A disease-specific HRQoL questionnaire was administered before and after the Athens Protocol intervention, using the following administrative questionnaires: National Eye Institute Visual Function Questionnaire (NEI VFQ) 25/39 and IVI-28. The disease grade was ranked according to the Amsler–Krumeich classification (KCN severity). Reliability of collected data was evaluated with Cronbach’s α test.Results: Patients’ age ranged from 15 to 51 years at the time of the operation. Mean time before the operation during which the questionnaires were administered was 52±6 months. General visual acuity, psychological well-being, and driving ability showed significant improvement. Younger keratoconic patients tend to have more enhanced psychological status and to cope better with difficulties in everyday activities (prior to operation) than older patients.Conclusion: The Athens Protocol treatment has been proven to be beneficial to patients in a large number of aspects. Keywords: KCN, Athens Protocol, topography-guided PRK, quality of life, HRQoL questionnaire, NEI VFQ, IVI-28
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| format |
article |
| author |
Kanellopoulos AJ |
| author_facet |
Kanellopoulos AJ |
| author_sort |
Kanellopoulos AJ |
| title |
The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| title_short |
The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| title_full |
The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| title_fullStr |
The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| title_full_unstemmed |
The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| title_sort |
impact of keratoconus treatment with the athens protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study |
| publisher |
Dove Medical Press |
| publishDate |
2019 |
| url |
https://doaj.org/article/344785c8669543bbb931dd011e1d7477 |
| work_keys_str_mv |
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