{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:20:45Z","timestamp":1787761245301,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"\n Purpose:<\/jats:title>\n The aim of the study was to survey keratoconus management by optometrists in India.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A validated online survey questionnaire was circulated to all optometrists from India who had completed 4 years of optometry programs. Practitioners were asked general contact lens practice questions and keratoconus management-related questions. For analysis, data were imported into SPSS (IBM Corp. 2011).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 159 optometrists responded to the questionnaire, of whom 10.7% of practitioners had >10 years of experience and the remaining 89.3% had <10 years. Only 45.3% of respondents had corneal topography in their practice. Approximately 55% of practitioners prescribed gas permeable (GP) lenses. Around 77.4% of practitioners considered that a combination of multiple factors is necessary for keratoconus investigations. In addition, 91.8% of practitioners used the keratoconus severity classification. Also, 73% of practitioners consider that GP contact lens (CL) fitting is more difficult in keratoconic eyes than in healthy eyes. The average number of GP diagnostic lenses used in keratoconus CL fittings was 3.93 \u00b1 1.92. A majority of practitioners calculate back optic zone radius (BOZR) using the manufacturer\u2019s guidelines (based on manual keratometry [39.6%] or based on corneal topography [40.3%]). Around 40.3% of respondents prefer to refer patients to another optometrist for CL fitting before consulting an ophthalmologist for surgical intervention. Finally, half of the respondents participate in co-management with ophthalmologists after surgical treatment (54.1%).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This study provides details about the management of keratoconus by optometrists in India. Keratoconus patient care could be improved with new evidence-based guidelines for the management and referral of these patients that would provide guidance on GP CL fitting procedures. Furthermore, it determines referral criteria and enhances co-management between optometrists and ophthalmologists.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ijo.ijo_525_22","type":"journal-article","created":{"date-parts":[[2023,1,5]],"date-time":"2023-01-05T09:14:27Z","timestamp":1672910067000},"page":"86-90","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Online survey about keratoconus management by optometrists"],"prefix":"10.4103","volume":"71","author":[{"given":"Ugam","family":"Usgaonkar","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Goa Medical College and Hospital, Goa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suvarna","family":"Chodankar","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Goa Medical College and Hospital, Goa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aksha","family":"Shetty","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Goa Medical College and Hospital, Goa, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1111\/cxo.12233","article-title":"Therlapeutic treatment of kerlatoconus:A survey of local optometric practice criteria","volume":"98","author":"Hodge","year":"2015","journal-title":"Clin Exp Optom"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5005\/jp-journals-10025-1095","article-title":"Keratoconus management guidelines","volume":"4","author":"Ali\u00f3","year":"2015","journal-title":"J Keratoconus Ectatic Corneal Dis"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.clae.2017.03.005","article-title":"Current optometric practices and attitudes in keratoconus patient management","volume":"40","author":"Ortiz-Toquero","year":"2017","journal-title":"Cont Lens Anterior Eye"},{"key":"R5-20240828","article-title":"Advances in Non-surgical Treatment Methods in Vision Rehabilitation of Keratoconus Patients","author":"Muhafiz","year":"2020","journal-title":"Eyesight and Medical Image Cognition \u2013Recent Advances and New Perspectives"},{"key":"R6-20240828","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.clae.2010.04.006","article-title":"Keratoconus:A review","volume":"33","author":"Romero-Jim\u00e9nez","year":"2010","journal-title":"Cont Lens Anterior Eye"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1016\/S0886-3350(99)00195-9","article-title":"KISA% index:A quantitative videokeratography algorithm embodying minimal topographic criteria for diagnosing keratoconus","volume":"25","author":"Rabinowitz","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"539","DOI":"10.3928\/1081-597X-20060601-05","article-title":"Corneal higher order aberrations:A method to grade keratoconus","volume":"22","author":"Ali\u00f3","year":"2006","journal-title":"J Refract Surg"},{"key":"R9-20240828","first-page":"CD011150","article-title":"Intrastromal corneal ring segments for treating keratoconus","volume":"6","author":"Zadnik","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"R10-20240828","first-page":"19","article-title":"The genetic and environmental factors for Keratoconus","author":"Gordon-Shaag","year":"2015","journal-title":"Hindawi publishing corporation. BioMed Res Int"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/OPX.0b013e3181c75170","article-title":"Use of acular LS in the pain management of keratoconus","volume":"87","author":"Yu","year":"2010","journal-title":"Optom Vis Sci"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1186\/s12909-021-02738-0","article-title":"Mismatch of corneal specialists expectations and keratoconus knowledge in general ophthalmologists \u2013A prospective observational study in Switzerland","volume":"21","author":"Baenninger","year":"2021","journal-title":"BMC Med Educ"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_525_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:29:15Z","timestamp":1787758155000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijo.IJO_525_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,30]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_525_22","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,30]]},"assertion":[{"value":"2022-02-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}