A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China

Abstract China is a populous country but lacks epidemiological data on keratoconus (KC). The present study aimed to investigate the clinical data, demographic data, and visual function (VF) data of KC patients in Central China. A total of 524 KC eyes in 307 KC patients (217 bilateral and 90 unilater...

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Autores principales:	Kaili Yang, Liyan Xu, Qi Fan, Yuwei Gu, Bo Zhang, Feiying Meng, Dongqing Zhao, Chenjiu Pang, Shengwei Ren
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f185d15f2f934b98aa75e79a52168ca5
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spelling	oai:doaj.org-article:f185d15f2f934b98aa75e79a52168ca52021-12-02T14:20:43ZA hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China10.1038/s41598-021-87291-y2045-2322https://doaj.org/article/f185d15f2f934b98aa75e79a52168ca52021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-87291-yhttps://doaj.org/toc/2045-2322Abstract China is a populous country but lacks epidemiological data on keratoconus (KC). The present study aimed to investigate the clinical data, demographic data, and visual function (VF) data of KC patients in Central China. A total of 524 KC eyes in 307 KC patients (217 bilateral and 90 unilateral) from Henan Eye Hospital were included in the current study. Demographic and VF data were assessed with questionnaires administered by well-trained staff during face-to-face interviews. Visual acuity value was examined by a qualified optometrist, and the clinical data were measured by professional clinicians. The distributions of sex, residence and education level of KC patients were compared by Chi-square tests, and the ratios of people wearing glasses and rigid gas permeable (RGP) lenses were compared by McNemar tests. General linear models/Chi-squared tests were used to compare the clinical and demographic data according to KC severity. Spearman’s correlation analysis was used to test the associations between the data and KC severity. The mean age at diagnosis was 20.98 ± 6.06 years, and males had a higher ratio of KC than females (P < 0.001). Patients in rural areas had a higher rate of KC than those in urban areas (P = 0.039), and the proportion of KC patients with a higher education level (above high school) was high (P < 0.001). A total of 68.40% of the patients reported eye rubbing and 3.52% had a positive family history. The percentage of people wearing glasses was higher than that of patients wearing RGP lenses (P < 0.001). The total VF score of KC patients was 69.35 ± 15.25. The thinnest corneal thickness (TCT) and stiffness parameter at the first applanation (SP-A1) values were inversely correlated with KC severity (P < 0.05). The mean, steep, and max keratometry (Km, Ks and Kmax) values, the RGP lens use and keratoplasty were positively correlated with KC severity (all P < 0.05). The total VF score of the eye with better VA decreased as the severity increased (r = − 0.21, P = 0.002). The present study comprehensively describes various associated features of KC patients from a tertiary hospital in Central China, providing a reference for understanding the characteristics of KC patients in China.Kaili YangLiyan XuQi FanYuwei GuBo ZhangFeiying MengDongqing ZhaoChenjiu PangShengwei RenNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kaili Yang Liyan Xu Qi Fan Yuwei Gu Bo Zhang Feiying Meng Dongqing Zhao Chenjiu Pang Shengwei Ren A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
description	Abstract China is a populous country but lacks epidemiological data on keratoconus (KC). The present study aimed to investigate the clinical data, demographic data, and visual function (VF) data of KC patients in Central China. A total of 524 KC eyes in 307 KC patients (217 bilateral and 90 unilateral) from Henan Eye Hospital were included in the current study. Demographic and VF data were assessed with questionnaires administered by well-trained staff during face-to-face interviews. Visual acuity value was examined by a qualified optometrist, and the clinical data were measured by professional clinicians. The distributions of sex, residence and education level of KC patients were compared by Chi-square tests, and the ratios of people wearing glasses and rigid gas permeable (RGP) lenses were compared by McNemar tests. General linear models/Chi-squared tests were used to compare the clinical and demographic data according to KC severity. Spearman’s correlation analysis was used to test the associations between the data and KC severity. The mean age at diagnosis was 20.98 ± 6.06 years, and males had a higher ratio of KC than females (P < 0.001). Patients in rural areas had a higher rate of KC than those in urban areas (P = 0.039), and the proportion of KC patients with a higher education level (above high school) was high (P < 0.001). A total of 68.40% of the patients reported eye rubbing and 3.52% had a positive family history. The percentage of people wearing glasses was higher than that of patients wearing RGP lenses (P < 0.001). The total VF score of KC patients was 69.35 ± 15.25. The thinnest corneal thickness (TCT) and stiffness parameter at the first applanation (SP-A1) values were inversely correlated with KC severity (P < 0.05). The mean, steep, and max keratometry (Km, Ks and Kmax) values, the RGP lens use and keratoplasty were positively correlated with KC severity (all P < 0.05). The total VF score of the eye with better VA decreased as the severity increased (r = − 0.21, P = 0.002). The present study comprehensively describes various associated features of KC patients from a tertiary hospital in Central China, providing a reference for understanding the characteristics of KC patients in China.
format	article
author	Kaili Yang Liyan Xu Qi Fan Yuwei Gu Bo Zhang Feiying Meng Dongqing Zhao Chenjiu Pang Shengwei Ren
author_facet	Kaili Yang Liyan Xu Qi Fan Yuwei Gu Bo Zhang Feiying Meng Dongqing Zhao Chenjiu Pang Shengwei Ren
author_sort	Kaili Yang
title	A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
title_short	A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
title_full	A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
title_fullStr	A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
title_full_unstemmed	A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China
title_sort	hospital-based study on clinical data, demographic data and visual function of keratoconus patients in central china
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/f185d15f2f934b98aa75e79a52168ca5
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A hospital-based study on clinical data, demographic data and visual function of keratoconus patients in Central China

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