Contact Lenses as the best Conservative Treatment of Newly Diagnosed Keratoconus – Epidemiological Retrospective Study

Keratoconus is a progressive, non-infl ammatory corneal ectasia characterized by thinning and weakening of the corneal stroma which results in its’ protrusion. The onset is during puberty and progresses until the fourth decade of life. In earlier stages, good visual acuity can be provided with spectacles. With progression, contact lenses are considered to be a better therapy. Aim of this study was to determine if there is statistically signifi cant difference between best corrected visual acuity (BCVA) obtained by spectacles and contact lenses in newly diagnosed keratoconus patients, as well as to determine which type of contact lenses provide better BCVA in keratoconus patients. We conducted a 5-year retrospective study of all 2891 patients attending our Contact Lens Department for the fi rst time, searching for patients newly diagnosed with keratoconus. Data were obtained on gender, age, education level, treated eyes, corneal changes, keratoconus severity, BCVA with spectacles, contact lenses and best fi tted contact lens type. All patients underwent standard ophthalmic exam, refractometry and keratometry have been done, followed by a spectacles correction and lens fi tting. Wilcoxon signed rank test was used for statistical analysis. Results showed that of all 2891 patients examined for the fi rst time, 137 patients (4.74%) have been newly diagnosed with keratoconus, there was male bias (72.26%), mean age 27.7±9.9 years. Most patients had high school education (51.11%), 3.70% had present corneal changes, 50.37% had mild keratoconus. Majority had keratoconus on both eyes (36.3%) or keratoconus of right eye (26.67%). There was a statistically signifi cant difference (p