Tuesday, 08 November 2022 10:10

    Tomographic characteristics of keratoconus in a sample of Yemeni patients Featured

    Rate this item
    (0 votes)

    Original Research:

    Mohammed A. Al-Ansi, Noor A. Aldhaigi, Hisham A. Alakhlee

    Abstract

    Background: Keratoconus is a non-inflammatory disorder that leads to visual impairment. Early diagnosis and treatment save the vision of the patients.

    Aim: This study aimed to identify tomographic characteristics of keratoconus in Yemeni patient sample.

    Methods: This cross-sectional descriptive study included 158 eyes affected with keratoconus presented to Ibn Al-Haitham Eye Hospital during the period of 1st January 2019 to 1st March 2020. Besides the clinical signs, the diagnosis is confirmed by OCULUS Pentacam.

    Results: The results revealed significant differences between males and females at the level of anterior chamber volume, depth and asphericity coefficient QV. Younger age groups were affected more severely than any other age group; and females were older at presentation on their first visit than males. Elevation maps especially back elevation map correlate better with the severity than sagittal maps.

    Conclusion: children and females are at higher risk in terms of more severity in children. There is delay in presentation to health services for the females, besides the social shame of vision problems and glasses in our country. Early detection and early access to management services could save vision.

     

    Keywords: Keratoconus, Topography, Pentacam, Astigmatism, Yemen

     

    Mohammed A. Al-Ansi, Noor A. Aldhaigi*, Hisham A. Alakhlee

    Department of Ophthalmology, Faculty of Medicine, Thamar University, Dhamar, Yemen

     

    For Correspondence:

    *Noor A. Aldhaigi
    Department of Ophthalmology, Faculty of Medicine, Thamar University, Dhamar, Yemen Tel: +967 770 932 593
    Email: This email address is being protected from spambots. You need JavaScript enabled to view it. 
     
     

    References

    1. Bussières N, Ababneh O, Abu Ameerh, M, Al Bdour M. Keratoconus asymmetry between both eyes based on corneal tomography. Middle East Afr. J. Ophthalmol. 2017;24:171–176.
    2. Kok, YO, Ling Tan GF, Loon SC. Review: Keratoconus in Asia. Cornea. 2012; 31:581–593.
    3. Ziaei H, Jafarinasab MR. Javadi MA. Karimian F, Poorsalman H, Mahdavi M, Shoja MR, Katibeh M. Epidemiology of keratoconus in an Iranian population. Cornea. 2012;31:1044–1047.
    4. Pearson AR, Soneji B, Sarvananthan N, Sanford-Smith JH. Does ethnic origin influence the incidence or severity of keratoconus? Eye. 2000;14:625–628.
    5. Assiri AA, Yousuf BI., Quantock AJ., Murphy, P. J. & Assiri, A. A. Incidence and severity of keratoconus in Asir province, Saudi Arabia. Br. J. Ophthalmol. 2005:89:1403–1406.
    6. Hashemi H, Heydarian S, Hooshmand E, Saatchi M, Yekta A, Aghamirsalim M, et al. The Prevalence and Risk Factors for Keratoconus: A Systematic Review and Meta-Analysis. Cornea. 2020;39:263–270.
    7. Naderan M, Rajabi MT, Zarrinbakhsh P, Farjadnia M. Is keratoconus more severe in pediatric population? Int. Ophthalmol. 2017;37:1169–1173.
    8. Gokul A, Patel DV, Watters GA, J McGhee CN. The natural history of corneal topographic progression of keratoconus after age 30 years in non-contact lens wearers. Cornea. 2012;31(3):253-258.
    9. Ertan A, Muftuoglu O. Keratoconus clinical findings according to different age and gender groups. Cornea. 2008;27:1109–1113.
    10. Sarezky, D, Orlin SE, Pan W, Vanderbeek BL. Trends in Corneal Transplantation in Keratoconus. Cornea. 2017;36: 131–137.
    11. Ruiseñor Vázquez PR, Galletti JD, Minguez N, Delrivo M, Fuentes Bonthoux F, Pförtner T, Galletti JG.Am J Ophthalmol. 2014 Jul;158(1):32-40.e2. doi: 10.1016/j.ajo.2014.03.018. Epub 2014 Apr 5.PMID: 24709808.
    12. Léoni-Mesplié S, Mortemousque B, Touboul, D, Malet F, Praud D, Mesplié N, Colin J. Scalability and Severity of Keratoconus in Children. American Journal of Ophthalmology. 2012;154(1):56-62.e51. doi: https://doi.org/10.1016/j.ajo.2012.01.025.
    13. Assiri AA, Yousuf BI, Quantock AJ. & Murphy, P. J. Incidence and severity of keratoconus in Asir province, Saudi Arabia. Br J Ophthalmol.2005;89:1403–1406.
    14. Al-Mahrouqi HH, Al-Shamli N, Mohan NR, Oraba SB, Panchatcharam SM, Al-Saidi R, Al-Raisi A. Clinical Profile of Omani Keratoconus Patients: An Experience from a tertiary referral centre in Muscat. Oman J Ophthalmol. 2018 Sep-Dec;11(3):259-264. doi: 10.4103/ojo.OJO_203_2017. PMID: 30505118; PMCID: PMC6219336.
    15. Cozma, I, Atherley C, & James NJ. Influence of ethnic origin on the incidence of keratoconus and associated atopic disease in Asian and white patients. Eye. 2005;19(8):924-925. doi: 10.1038/sj.eye.6701677.
    16. Naderan M, Shoar S, Kamaleddin MA, Rajabi MT, Naderan M, Khodadadi M. Keratoconus Clinical Findings According to Different Classifications. Cornea. 2015 Sep;34(9):1005-11. doi: 10.1097/ICO.0000000000000537. PMID: 26203749.
    17. Abu Ameerh MA, Bussières N, Hamad GI, Al Bdour MD. Topographic characteristics of keratoconus among a sample of Jordanian patients. Int. J. Ophthalmol. 2014;7:714–719.
    18. Ertan A, Kamburoglu G, Colin J. Location of steepest corneal area of cone in keratoconus stratified by age using Pentacam. J. Refract. Surg. 2009;25:1012–1016.
    19. Munsamy AJ, Moodley VR. A correlation analysis of cone characteristics and central keratometric readings for the different stages of keratoconus. Indian J. Ophthalmol. 2017;65:7–11.

     

    Read 3935 times Last modified on Tuesday, 08 November 2022 11:13

    About AMH

    Annals of Medicine & Health (AMH) is a peer reviewed open access medical journal that established and published by a governmental medical faculty titled Thamar University Faculty of Medicine (Formerly known as Thamar University Faculty of Medicine & Health Sciences).

    Address

    Faculty of Medicine

    AL-Mohafadhah St. Dhamar City - Yemen

    P.O.Box: 87246

    Tel Fax: +967 6 509 578

    Tel No: +967 6 509 577

    Mail: fmhs@tu.edu.ye

    © Your Company. All Rights Reserved.

    Search