Abstract
Objective
To describe the demographics and clinical profile of Secondary Lipid Keratopathy in
patients presenting to a multi-tier ophthalmology hospital network in India.
Methods
This cross-sectional hospital-based study included 3,082,727 new patients presenting
between August 2010 and December 2021. Patients with a clinical diagnosis of Secondary
Lipid Keratopathy in at least one eye were included as cases. The data were collected
using an electronic medical record system.
Results
Overall, 389 (0.01%) patients were diagnosed with Secondary Lipid Keratopathy. Majority
were males (53.5%) and had a unilateral affliction (82.8%). The most common age group
at presentation was during the sixth decade of life with 76 (19.5%) patients. The
overall prevalence was higher in patients from a lower socio-economic status (0.02%)
presenting from the rural geography (0.01%) and in individuals related to agriculture
work/ manual labor (0.02%). Of the 456 eyes, mild or no visual impairment (<20/70)
was noted in 194 (42.5%) eyes followed by moderate visual impairment (>20/70 to 20/200)
in 81 (17.8%) eyes. At presentation, the mean visual acuity was 0.96 ± 1.07 log MAR
units. The most associated corneal condition was non-HSV corneal scar (36.8%), followed
by spheroidal degeneration (19.7%) and HSV keratitis in (18.6%).
Conclusion
Secondary lipid keratopathy more commonly affected males presenting during the sixth
decade of life. Most (42.5%) of the eyes had mild or no visual impairment. Corneal
scar (non-HSV) was the most associated corneal condition in both unilateral and bilateral
cases. HSV keratitis was the commonest corneal condition in those between 20 and 40 years,
followed by those above 40 years.
Keywords
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Article info
Publication history
Published online: March 15, 2023
Accepted:
March 3,
2023
Received in revised form:
February 25,
2023
Received:
December 7,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.
