{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:40:11Z","timestamp":1793493611698,"version":"4.5.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"\n PURPOSE:<\/jats:title>\n The purpose of the study is to evaluate the visual outcomes and improvement in quality of life (QOL) of patients with keratoconus with scleral lenses.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n In this prospective study, 14 patients (28 eyes) with bilateral keratoconus were fitted with scleral lenses (McAsfeer 16.00 mm) in Pune city, Maharashtra, India. Uncorrected visual acuity (VA), best spectacle-corrected VA, and VA with scleral lenses were evaluated. The patients were given the National Eye Institute Visual Function Questionnaire-25 (NEI VFQ-25) for judging the QOL, before and after using scleral lenses for 3 months.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n The mean uncorrected VA of the 14 patients with a mean age of 28.64 \u00b1 6.57 years was 1.18 \u00b1 0.19 logMAR. Best spectacle-corrected high-contrast VA improved from 0.47 \u00b1 0.25 logMAR to 0.03 \u00b1 0.07 logMAR with scleral lenses (\n P<\/jats:italic>\n < 0.001). Best spectacle-corrected low-contrast VA improved from 0.68 \u00b1 0.22 logMAR to 00.47 \u00b1 0.10 logMAR with scleral lenses (\n P<\/jats:italic>\n < 0.001). Along with the increase in overall median scores on the NEI VFQ-25 from 1735 to 2930 points (\n P<\/jats:italic>\n < 0.001), the distance and near activities (\n P<\/jats:italic>\n < 0.001), vision-specific mental health (\n P<\/jats:italic>\n < 0.002), social functioning (\n P<\/jats:italic>\n < 0.004), and driving (\n P<\/jats:italic>\n < 0.005) improved after using scleral lenses for 3 months.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSION:<\/jats:title>\n Scleral lenses can be an effective and safe management option for patients with keratoconus leading to an improved vision and QOL.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/sjopt.sjopt_157_23","type":"journal-article","created":{"date-parts":[[2024,7,3]],"date-time":"2024-07-03T03:26:43Z","timestamp":1719977203000},"page":"173-178","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Quality of life and vision assessment with scleral lenses in keratoconus"],"prefix":"10.4103","volume":"38","author":[{"given":"Shivanand R.","family":"Hadimani","sequence":"first","affiliation":[{"name":"School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardeep","family":"Kaur","sequence":"additional","affiliation":[{"name":"School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit J.","family":"Shinde","sequence":"additional","affiliation":[{"name":"School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonmoy","family":"Chottopadhyay","sequence":"additional","affiliation":[{"name":"School of Optometry, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"issue":"3","key":"R1-20260507","first-page":"2022","article-title":"Keratoconus: An updated review","volume":"45","author":"Santodomingo-Rubido","journal-title":"Contact Lens and Anterior Eye"},{"key":"R2-20260507","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1111\/j.1442-9071.1995.tb00141.x","article-title":"Clinical detection of unilateral keratoconus","volume":"23","author":"Lee","year":"1995","journal-title":"Aust N Z J Ophthalmol"},{"key":"R3-20260507","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1016\/S0161-6420(97)30123-7","article-title":"Unilateral keratoconus. 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