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Keratoconus and Personality-A Review.

Mark J Mannis1, Jennifer J Ling, Ralph Kyrillos

  • 1Department of Ophthalmology & Vision Science, University of California, Davis, Sacramento, CA.

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|December 8, 2017
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Patients with keratoconus do not have a unique personality type. Instead, they exhibit dysfunctional coping mechanisms impacting their interactions with healthcare providers, potentially due to the condition's typical onset during formative life stages.

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Area of Science:

  • Ophthalmology
  • Psychology
  • Psychiatry

Background:

  • Keratoconus is a progressive eye condition.
  • Perceived personality changes are often associated with keratoconus patients.
  • Existing literature requires assessment regarding personality and keratoconus.

Purpose of the Study:

  • To review existing literature on keratoconus and personality.
  • To propose a theoretical framework for perceived personality changes in keratoconus.

Main Methods:

  • Conducted a PubMed literature search.
  • Used keywords: keratoconus, personality, psychiatry, psychology, anxiety, depression, psychosis.
  • Reviewed 15 articles on personality and psychiatric disorders in keratoconus.

Main Results:

  • Patients with keratoconus show different personality scale scores than controls.
  • No unique "keratoconic personality" was substantiated.
  • Dysfunctional coping mechanisms affect patient-provider interactions, leading to perceptions of non-compliance.

Conclusions:

  • Keratoconus onset during critical developmental stages influences personality and coping mechanisms.
  • Behavioral patterns and patient-caregiver relationships are significantly affected.
  • This developmental impact may explain observed behavioral differences.