Importance of Early Screening and Diagnosis for Pediatric Keratoconus
A recent study published in the May 2024 edition of Optometry Times Journal has unveiled significant findings regarding the prevalence of keratoconus in children. Led by Jennifer S. Harthan, OD, FAAO, FSLS, the research utilized advanced corneal tomography to screen over 2000 pediatric eyes, uncovering a surprisingly high number of keratoconus cases.
Keratoconus (KC) is a progressive eye disease that causes the cornea to thin and bulge into a cone-like shape, leading to distorted vision. Traditionally, KC has been thought to develop in late adolescence or early adulthood. However, this new study suggests that the disease can manifest much earlier and progress more rapidly in younger patients.
The study was conducted at the Princeton Vision Clinic, part of the Illinois College of Optometry’s community-based program serving the Chicago public school system. This setting provided a diverse sample, primarily consisting of low-income, minority children.
Using Scheimpflug tomography, a sophisticated imaging technique, researchers assessed 2007 eyes from subjects aged 3 to 18 years. The results were striking: 6 out of 2007 subjects were diagnosed with keratoconus, and 3 were identified as KC suspects. This translates to a prevalence rate significantly higher than the previously estimated 1:2000 in adults.
These findings highlight the critical need for early screening and diagnosis of keratoconus in children. Early detection is crucial because interventions such as FDA-approved corneal collagen cross-linking (KXL) can halt the disease’s progression, preserving vision and improving quality of life. Despite these benefits, corneal tomography is not routinely included in pediatric eye exams—a practice that may need reconsideration given the study’s results.
Incorporating regular screening for keratoconus using corneal tomography into pediatric eye care protocols could dramatically enhance early diagnosis and timely treatment. This proactive approach would prevent severe visual impairment and support better social and educational outcomes for affected children.
At Keratoconus Specialists of Maryland, we understand the challenges Keratoconus presents. We are proud to been the first private practice in Maryland to offer EyePrint Pro, a revolutionary scleral lens technology that provides exceptional vision correction for patients with advanced keratoconus and other corneal irregularities.
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Contact our office today to learn more about EyePrint Pro and see if it’s the right option for you. We offer personalized consultations with Dr. Azman, a leading keratoconus specialist, to discuss your unique needs and determine if EyePrint Pro can help you regain clear vision and a better quality of life.
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