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Is consanguinity a risk factor for keratoconus?

Ariela Gordon-Shaag1, Michel Millodot, Maron Essa

  • 1Department of Optometry, Hadassah Academic College, Jerusalem, Israel. Arielag@hadassah.ac.il

Optometry and Vision Science : Official Publication of the American Academy of Optometry
|April 16, 2013
PubMed
Summary

Consanguinity is a significant risk factor for keratoconus (KC), suggesting a genetic link. Environmental factors like eye rubbing and lack of sunglass wear also contribute to KC development.

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Area of Science:

  • Ophthalmology
  • Genetics
  • Public Health

Background:

  • Keratoconus (KC) is a progressive eye condition affecting corneal shape.
  • Genetic and environmental factors are implicated in KC etiology.
  • The role of consanguinity as a risk factor for KC requires further investigation.

Purpose of the Study:

  • To investigate the association between consanguinity and the risk of developing keratoconus (KC).
  • To identify other potential risk factors for KC in a specific population.

Main Methods:

  • A case-control study was conducted with 70 KC patients and 140 controls.
  • Data on demographic characteristics and potential risk factors were collected via questionnaires.
  • Multivariate logistic regression analysis was employed to determine significant risk factors.

Main Results:

  • Consanguinity (first-cousin and second-cousin) was significantly associated with KC (adjusted odds ratio, 3.96; p = 0.001).
  • Eye rubbing, absence of sunglass wear, and higher education level were also identified as significant risk factors for KC.
  • Allergy was associated with KC in univariate but not multivariate analysis.

Conclusions:

  • Consanguinity is a significant risk factor for keratoconus, supporting a genetic contribution to the disease.
  • Environmental factors, including eye rubbing and lack of sunglass protection, are associated with KC.
  • Education level is also a significant predictor of KC risk.