{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:32:03Z","timestamp":1787070723141,"version":"build-2736575974"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"Abstract<\/jats:title>\n \n BACKGROUND:<\/jats:title>\n To evaluate the vision-related quality of life in keratoconus patients who had undergone intrastromal-corneal-ring-segment (ICRS) implantation using the Persian version of Vision-Function-Questionnaire-25.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n In a cross-sectional study, 20 keratoconus patients, mean age 33.50 \u00b1 5.50 years old, managed with bilateral ICRS implantation were included. Thirty age- and sex-matched normal individuals mean age of 30.00 \u00b1 6.20 years old were included in the control group. The binocular visual acuity and vision-related quality of life were compared between the ICRS and control groups. The Persian version of Vision-Function Questionnaire-25 was applied.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n The mean binocular best corrected visual acuity in the keratoconus group was 0.06 \u00b1 0.08 logarithm of the minimum angle of resolution (LogMAR), and in normal individuals was 0.00 \u00b1 0.00 LogMAR, (\n P<\/jats:italic>\n = 0.001). The mean total score of Vision-Function-Questionnaire-25 in the ICRS group was 81.00 \u00b1 14.00, and in the control group was 90.50 \u00b1 8.00 (\n P<\/jats:italic>\n = 0.004). The ICRS group showed significantly lower scores in distance vision, near vision, peripheral vision, role limitation, and night-time driving,\n P<\/jats:italic>\n < 0.05. The differences in the mean values of social function, dependency, day driving, ocular pain, and color vision were insignificant compared to normal individuals (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n ICRS implantation can improve some social functions of keratoconus patients to the level of normal individuals; however, visual functions and night driving remain affected compared to normal individuals.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ojo.ojo_228_23","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T07:00:40Z","timestamp":1750748440000},"page":"162-166","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Vision related quality of life in keratoconus patients with intra stromal corneal ring segments implantation"],"prefix":"10.4103","volume":"18","author":[{"given":"Sahar","family":"Mohaghegh","sequence":"first","affiliation":[{"name":"Department of Optometry, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahram","family":"Bamdad","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Poostchi Ophthalmology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haleh","family":"Kangari","sequence":"additional","affiliation":[{"name":"Department of Optometry, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Reza","family":"Khalili","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Poostchi Ophthalmology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharafat","family":"Javaheri","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Poostchi Ophthalmology Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"R1-20250628","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/S0039-6257(97)00119-7","article-title":"Keratoconus","volume":"42","author":"Rabinowitz","year":"1998","journal-title":"Surv Ophthalmol"},{"key":"R2-20250628","doi-asserted-by":"crossref","first-page":"12971","DOI":"10.1038\/s41598-021-92396-5","article-title":"Contrast sensitivity and higher-order aberrations in Keratoconus subjects","volume":"11","author":"Shneor","year":"2021","journal-title":"Sci 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