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| ID | Type | Description | Link |
|---|---|---|---|
| 2020-A00749-30 | Other Identifier | ANSM |
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KC is a degenerative disorder of the cornea. Keratoconus etiopathogenesis remains unclear and may rely on environmental and genetic factors. Usually considered as a rare disease (<1/2000), but the prevalence is nowadays growing worldwide up to 1/500. In that pathology, cornea progressively gets thinner, and there is a deformation of the corneal surface which can induce high order optical aberrations and visual impairment.
Eye rubbing is certainly the main factor in the progression or development of keratoconus (KC), yet it is only very partially evaluated and quantified in current management. Environmental and clinical factors will be collected and associated with a eye rubbing Questionnaire, specifically pointing out eye rubbing.
CNRK center is working on an eye rubbing questionnaire since 2017 in order to quantify that pejorative factor. Patient education can limit in a certain amount the Keratoconus progression. Thus, our objective will be to evaluate the therapeutic impact on Keratoconus progression of patient's education against eye rubbing according to an eye rubbing Questionnaire.
The validation of a dedicated questionnaire is an important act that will allow the scientific evaluation of this factor with both environmental and behavioral traits. It can thus be integrated into our care activity for its intrinsic educational and therapeutic virtues and for its decision-making aid for certain treatments. It will be useful first of all for the refinement of the correct prescription of corneal collagen crosslinking for evolving KC or KC with a high risk of progression.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exploratory phase | Experimental | eye rubbing questionnaire at baseline and 15 days later |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| eye rubbing questionnaire | Other | eye rubbing questionnaire at baseline and 15 days later for exploratory phase; at baseline and then validation by a Group Nominal |
|
| Measure | Description | Time Frame |
|---|---|---|
| validation of our eye rubbing questionnaire | validation of our eye rubbing questionnaire will be made through the evaluation of its Suitability (Appearance validity, Content validity), Reliability (Consistency and homogeneity, Reproducibility), Applicability (Feasibility and acceptability), Validity (Construct validity), Sensitivity (Sensitivity to change, Discriminative validity) | Baseline and 15 days after (Day 15) |
| Measure | Description | Time Frame |
|---|---|---|
| questionnaire simplification | Statistical criteria for questionnaire simplification: ceiling and floor effects, response rates, correlations, reproducibility, measurement error and internal consistency. These elements are part of the content validity and reliability stages of the COSMIN recommendations | Month 6 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Bordeaux | Bordeaux | France | ||||
| CHU Brest |
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| ID | Term |
|---|---|
| D007640 | Keratoconus |
| ID | Term |
|---|---|
| D003316 | Corneal Diseases |
| D005128 | Eye Diseases |
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eye rubbing questionnaire at baseline and 15 days later
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| Expert consensus by nominal group |
Expert consensus by nominal group. This is the only method suitable for validating a clinical questionnaire |
| Month 6 |
| Brest |
| France |
| CHU de Clermont-Ferrad | Clermont-Ferrand | France |
| Hospices Civils de Lyon | Lyon | France |
| CHU de Montpellier | Montpellier | France |
| Centre National Ophtalmologique des Quinze Vingt | Paris | France |
| CHU de Rouen | Rouen | France |
| CHU de Toulouse | Toulouse | France |