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  5. FP0076 : CONQUER CONE IN CHILDREN – EARLY DIAGNOSIS AND INTERVENTION IN SUBCLINICAL KERATOCONUS

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Chief & Presenting Author: Dr.Reshika Annamalai Somasundram

Co Author(s): Dr.Amjad Salman, Dr.Vivek Velumani

Abstract

PURPOSE
To determine pediatric prevalence of keratoconus and provide intervention to prevent progression
STUDY DESIGN
This is a retrospective analysis of children (5-18 years of age) with astigmatism, attending as out patient in a tertiary care center over 10 years.
METHODS
Data collected include corneal thickness, astigmatism and corneal topography. Based on topographic readings, 3 groups were divided: Group A (<47.25D), Group B (47.25-50D) and Group C (>50.0D). Prevalence of keratoconus was detected and treated if necessary
RESULTS
A total of 1165 eyes, In Groups A, B and C, average astigmatism values were 2.60D, 4.02D and 6.7D cylinder, with KC constituting 6.16%, 18.43% and 68.6%, Of that 13.88%, 25.64%, 45.71 % required Collagen cross linking respectively.
CONCLUSION
Prevalence of keratoconus was higher in children with keratometry readings exceeding 47D. Corneal topographic screening appeared to improve early detection and effective treatment of keratoconus.