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)

Kepa Balparda,1,2 Tatiana Herrera-Chalarca,3 Laura Andrea Silva-Quintero,4 Sneider Alexander Torres-Soto,4 Laura Segura-Muñoz,5 Claudia Marcela Vanegas-Ramirez6 1Department of Cornea and Refractive Surgery, Black Mammoth Surgical, Medellín, Colombia; 2Predoctoral Research Group...

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Autores principales: Balparda K, Herrera-Chalarca T, Silva-Quintero LA, Torres-Soto SA, Segura-Muñoz L, Vanegas-Ramirez CM
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:91882e91de414b69b90e205f8bdc05c02021-12-02T15:18:17ZBoth 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)1177-5483https://doaj.org/article/91882e91de414b69b90e205f8bdc05c02020-06-01T00:00:00Zhttps://www.dovepress.com/both-subjective-emotional-distress-and-visual-handicap-correlate-with--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kepa Balparda,1,2 Tatiana Herrera-Chalarca,3 Laura Andrea Silva-Quintero,4 Sneider Alexander Torres-Soto,4 Laura Segura-Muñoz,5 Claudia Marcela Vanegas-Ramirez6 1Department of Cornea and Refractive Surgery, Black Mammoth Surgical, Medellín, Colombia; 2Predoctoral Research Group, Universidad de Valladolid, Valladolid, Spain; 3Department of Clinical Research, Black Mammoth Surgical, Medellín, Colombia; 4Medicarte, Medellín, Colombia; 5School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia; 6Department of Ophthalmology, Universidad Pontificia Bolivariana, Medellín, ColombiaCorrespondence: Kepa Balparda Email kb@kepabalparda.comBackground: 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.Keywords: Keratoconus, quality of life, vision ocularBalparda KHerrera-Chalarca TSilva-Quintero LATorres-Soto SASegura-Muñoz LVanegas-Ramirez CMDove Medical Pressarticlekeratoconus – quality of life – vision ocularOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1839-1845 (2020)
institution DOAJ
collection DOAJ
language EN
topic keratoconus – quality of life – vision ocular
Ophthalmology
RE1-994
spellingShingle keratoconus – quality of life – vision ocular
Ophthalmology
RE1-994
Balparda K
Herrera-Chalarca T
Silva-Quintero LA
Torres-Soto SA
Segura-Muñoz L
Vanegas-Ramirez CM
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)
description Kepa Balparda,1,2 Tatiana Herrera-Chalarca,3 Laura Andrea Silva-Quintero,4 Sneider Alexander Torres-Soto,4 Laura Segura-Muñoz,5 Claudia Marcela Vanegas-Ramirez6 1Department of Cornea and Refractive Surgery, Black Mammoth Surgical, Medellín, Colombia; 2Predoctoral Research Group, Universidad de Valladolid, Valladolid, Spain; 3Department of Clinical Research, Black Mammoth Surgical, Medellín, Colombia; 4Medicarte, Medellín, Colombia; 5School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia; 6Department of Ophthalmology, Universidad Pontificia Bolivariana, Medellín, ColombiaCorrespondence: Kepa Balparda Email kb@kepabalparda.comBackground: 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.Keywords: Keratoconus, quality of life, vision ocular
format article
author Balparda K
Herrera-Chalarca T
Silva-Quintero LA
Torres-Soto SA
Segura-Muñoz L
Vanegas-Ramirez CM
author_facet Balparda K
Herrera-Chalarca T
Silva-Quintero LA
Torres-Soto SA
Segura-Muñoz L
Vanegas-Ramirez CM
author_sort Balparda K
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_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_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_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)
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/91882e91de414b69b90e205f8bdc05c0
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