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Joint hypermobility in keratoconus.

E G Woodward1, M T Morris

  • 1Department of Optometry & Visual Science, City University, London, UK.

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|October 1, 1990
PubMed
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Patients with keratoconus exhibit increased joint hypermobility, particularly in the metacarpo-phalyngeal and wrist joints. This suggests keratoconus may stem from mild, localized connective tissue disorders affecting collagen metabolism.

Area of Science:

  • Ophthalmology
  • Rheumatology
  • Genetics

Background:

  • Keratoconus is frequently associated with connective tissue disorders like Ehlers-Danlos syndrome.
  • These associations suggest a potential link between keratoconus and localized collagen metabolism dysfunction.

Purpose of the Study:

  • To investigate the incidence of joint hypermobility in keratoconus patients.
  • To compare joint hypermobility in keratoconus patients with a matched control group.

Main Methods:

  • Eighty-four keratoconus patients and a matched control group were assessed.
  • The Beighton modification of the Carter and Wilkinson scoring system was used to evaluate joint hypermobility.

Main Results:

  • No significant differences in trunk or knee joint hypermobility were observed between groups.

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  • Statistically significant hypermobility was found in the metacarpo-phalyngeal and wrist joints of keratoconus patients.
  • Keratoconus patients were five times more likely to exhibit hypermobility in these specific joints.
  • Conclusions:

    • The findings support the hypothesis that keratoconus represents a localized manifestation of a mild connective tissue disorder.
    • Increased hypermobility in specific joints may serve as a clinical indicator associated with keratoconus.