Preferred practice patterns for keratoconus: An e-survey among Indian cornea specialists

Area of Science:

• Ophthalmology
• Corneal Diseases
• Refractive Surgery

Background:

• Keratoconus is a progressive corneal ectasia affecting vision.
• Understanding current management practices is crucial for improving patient outcomes.

Purpose of the Study:

• To investigate and report the current practice patterns in keratoconus management among eye care professionals in India.

Main Methods:

• An electronic survey was distributed to members of the Cornea Society of India.
• The survey assessed preferred diagnostic tools, contact lens dispensing, surgical interventions, and treatment protocols for keratoconus.

Main Results:

• A majority of respondents utilized Scheimpflug imaging or Orbscan II for diagnosis and dispensed scleral or Rose K lenses.
• Corneal cross-linking (CXL) and deep anterior lamellar keratoplasty (DALK) were frequently performed procedures.
• Spectacles and topography-guided photorefractive keratectomy were preferred for visual rehabilitation.

Conclusions:

• Keratoconus management in India aligns with global standards.
• The concentration of specialists and facilities in urban private practices may limit equitable access to care nationwide.