Official ESCRS | European Society of Cataract & Refractive Surgeons


Keratoconus in Asian children

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Session Details

Session Title: Keratoconus

Session Date/Time: Monday 16/09/2019 | 14:00-16:00

Paper Time: 14:06

Venue: Free Paper Forum: Podium 2

First Author: : S.Alswailem SAUDI ARABIA

Co Author(s): :    A. Albahlal   A. Alqassimi                          

Abstract Details


To assess phenotype and severity of keratoconus (KC) at diagnosis in children compared to adults


Retrospective, tertiary eye hospital


Charts of 999 patients were reviewed, comprising 162 patients aged ≤15 (group 1), 759 patients aged 16-30 (group 2) and 78 aged >30 (group 3) years. Phenotype & severity was assessed in group 1 and 3 using Amsler- Krumeich’s classification, positive corneal scarring (CS) and best distance corrected visual acuity (BDCVA).


A male predominance was observed in both groups. Ocular & systemic atopy were present more in group 1 (45.9% vs 20.8%). Children were significantly more likely to have stage 4 (32% vs 8%) and CS (47.5% vs18.2%) in comarsion to adults. BDCVA of ≥20/40 were more present in adults (90.3% vs 76.6%) (p<0.002). Corneal transplantation was performed in 30.5% and 18.9% in children and adults, respectively.


A clear inverse correlation exists between age and the severity of KC. A close monitoring is necessarily in order to control allergy and prevent progression.

Financial Disclosure:


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