{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T19:55:09Z","timestamp":1789588509985,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To understand the visual performance of scleral lens (SL) and to investigate whether SLs have any impact on quality of life (QOL) in the pediatric population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-five eyes, diagnosed with keratoconus (n = 14), ocular surface disease (n = 7), and corneal tear repair (n = 4) were fitted with SL. Visual acuity, contrast sensitivity (CS), fluid reservoir thickness, compliance, average wear time, and QOL assessment through PedEye-Q questionnaire were measured before and after 1 month of SL wear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The baseline best corrected distance visual acuity with spectacles averaged 0.50 (0.40\u20130.80) logMAR [median (IQR)], which improved to 0.10 (0\u20130.45) logMAR [median (IQR)] with SL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). CS also showed significant improvement, rising from a median of 0.15 (0\u20130.60) logCS with spectacles to 1.10 (0.52\u20131.5) logCS with SLs (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). QOL for the child improved markedly with SLs compared to spectacles (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Additionally, a significant improvement in parental QOL was observed post-SL wear (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>SL\u2019s fitting is feasible and should be considered as an effective therapeutic option in pediatrics. The significant improvement in QOL of parents suggests compliance of caregivers or parents should be considered a chief priority when fitting pediatrics with SLs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_239_25","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T19:01:05Z","timestamp":1764010865000},"page":"1824-1828","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Quality of life in the pediatric population wearing scleral lenses"],"prefix":"10.4103","volume":"73","author":[{"given":"M Sindhu","family":"Vaishnavi","sequence":"first","affiliation":[{"name":"The Sankara Nethralaya Academy, A Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"},{"name":"The Tamil Nadu Dr. M.G.R. Medical University, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshaya C","family":"Balakrishnan","sequence":"additional","affiliation":[{"name":"Departments of Contact Lens, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karpagavalli","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Departments of Contact Lens, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Agarwal","sequence":"additional","affiliation":[{"name":"CU Shah Cornea Services, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"CU Shah Cornea Services, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhumathi","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Departments of Contact Lens, Sankara Nethralaya, Unit of Medical Research Foundation, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"R3-20260419","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1097\/ICL.0000000000000798","article-title":"Miniscleral contact lens in pediatric age group: Indications, safety, and efficacy","volume":"47","author":"Alipour","year":"2021","journal-title":"Eye Contact Lens"},{"key":"R4-20260419","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.2147\/OPTH.S244679","article-title":"Ocular trauma in pediatric age group at a tertiary eye care center in central Maharastra, India","volume":"14","author":"Madan","year":"2020","journal-title":"Clin Opthalmol"},{"key":"R5-20260419","doi-asserted-by":"crossref","first-page":"597","DOI":"10.4103\/ijo.IJO_1930_21","article-title":"Visual impairment and blindness among children from schools for the blind in Maharashtra state, India: Changing trends over the last decade","volume":"70","author":"Kulkarni","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R6-20260419","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.jtos.2020.07.019","article-title":"Dry eye disease in children and adolescents in India","volume":"18","author":"Donthineni","year":"2020","journal-title":"Ocular Surf"},{"issue":"Suppl 1","key":"R7-20260419","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/S0886-3350(97)80040-5","article-title":"Epidemiology of cataract in childhood: A global perspective","volume":"23","author":"Foster","year":"1997","journal-title":"J Cataract Refract Surg"},{"key":"R8-20260419","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1038\/s41433-022-01942-6","article-title":"Assessment of long-term visual outcomes in aphakic children wearing scleral contact lenses","volume":"37","author":"Yehezkeli","year":"2023","journal-title":"Eye (London, England)"},{"key":"R10-20260419","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.jfo.2020.08.016","article-title":"Scleral contact lenses: Visual outcomes and tolerance. A prospective study about 98 eyes","volume":"44","author":"El Bahloul","year":"2021","journal-title":"J Fr Ophtalmol"},{"key":"R11-20260419","doi-asserted-by":"crossref","first-page":"23.e1","DOI":"10.1016\/j.jaapos.2020.10.010","article-title":"Quality of life and functional vision across pediatric eye conditions assessed using the PedEyeQ","volume":"25","author":"Leske","year":"2021","journal-title":"J AAPOS"},{"key":"R12-20260419","doi-asserted-by":"crossref","first-page":"105","DOI":"10.4103\/IJO.IJO_1190_23","article-title":"Keratoconus in India: Clinical presentation and demographic distribution based on big data analytics","volume":"72","author":"Das","year":"2024","journal-title":"Indian J Ophthalmol"},{"key":"R13-20260419","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.clae.2012.03.001","article-title":"Fluid filled scleral contact lens in pediatric patients: Challenges and outcome","volume":"35","author":"Rathi","year":"2012","journal-title":"Cont Lens Anterior Eye"},{"key":"R14-20260419","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.jaapos.2007.11.008","article-title":"The Boston Scleral Lens in the treatment of pediatric patients","volume":"12","author":"Gungor","year":"2008","journal-title":"J AAPOS"},{"key":"R15-20260419","doi-asserted-by":"crossref","first-page":"101452","DOI":"10.1016\/j.clae.2021.101452","article-title":"Scleral contact lenses in the pediatric population- Indications and outcomes","volume":"45","author":"Severinsky","year":"2022","journal-title":"Cont Lens Anterior Eye"},{"key":"R16-20260419","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.1007\/s10792-017-0699-8","article-title":"Pediatric keratoconus: A review of the literature","volume":"38","author":"Mukhtar","year":"2018","journal-title":"Int Ophthalmol"},{"key":"R17-20260419","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1097\/ICO.0000000000002518","article-title":"Mini-scleral lenses improve vision-related quality of life in keratoconus","volume":"40","author":"Kreps","year":"2021","journal-title":"Cornea"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_239_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:19Z","timestamp":1787067979000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_239_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,24]]},"references-count":14,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_239_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,24]]},"assertion":[{"value":"2025-01-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}