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角膜圆锥国际联合会(KIC)——推进圆锥角膜研究。

Keratoconus International Consortium (KIC)- advancing keratoconus research.

机构信息

Centre for Eye Research Australia, Level 7, 32 Gisborne St, East Melbourne, Victoria, 3002, Australia.

Department of Surgery, Ophthalmology, The University of Melbourne, Melbourne, Australia.

出版信息

BMC Ophthalmol. 2023 Jul 27;23(1):337. doi: 10.1186/s12886-023-03087-w.

DOI:10.1186/s12886-023-03087-w
PMID:37501133
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375634/
Abstract

CLINICAL RELEVANCE

The Keratoconus International Consortium (KIC) will allow better understanding of keratoconus.

BACKGROUND

Keratoconus is a disorder characterised by corneal elevation and thinning, leading to reduced vision. The current gaps in understanding of this disease will be discussed and the need for a multi-pronged and multi-centre engagement to enhance our understanding of keratoconus will be highlighted.

DESIGN

KIC has been established to address the gaps in our understanding of keratoconus with the aim of collecting baseline as well as longitudinal data on several fields.

PARTICIPANTS

Keratoconus and control (no corneal condition) subjects from different sites globally will be recruited in the study.

METHODS

KIC collects data using an online, secure database, which enables standardised data collection at member sites. Data fields collected include medical history, clinical features, quality of life and economic burden questionnaires and possible genetic sample collection from patients of different ethnicities across different geographical locations.

RESULTS

There are currently 40 Australian and international clinics or hospital departments who have joined the KIC. Baseline data has so far been collected on 1130 keratoconus patients and indicates a median age of 29.70 years with 61% being male. A total of 15.3% report a positive family history of keratoconus and 57.7% self-report a history of frequent eye rubbing.

CONCLUSION

The strength of this consortium is its international, collaborative design and use of a common data collection tool. Inclusion and analyses of cross-sectional and longitudinal data will help answer many questions that remain in keratoconus, including factors affecting progression and treatment outcomes.

摘要

临床相关性

角膜圆锥国际联合会(KIC)将有助于更好地了解圆锥角膜。

背景

圆锥角膜是一种以角膜隆起和变薄为特征的疾病,导致视力下降。目前,人们对这种疾病的认识存在差距,需要多方面和多中心的参与,以加强我们对圆锥角膜的认识。

设计

KIC 的成立是为了弥补我们对圆锥角膜认识上的差距,目的是收集几个领域的基线和纵向数据。

参与者

将招募来自全球不同地点的圆锥角膜和对照(无角膜疾病)受试者参与这项研究。

方法

KIC 通过在线安全数据库收集数据,使成员单位能够进行标准化的数据收集。收集的数据字段包括病史、临床特征、生活质量和经济负担问卷,以及来自不同地理位置不同种族的患者的可能遗传样本采集。

结果

目前已有 40 家澳大利亚和国际诊所或医院部门加入了 KIC。迄今为止,已经收集了 1130 名圆锥角膜患者的基线数据,中位数年龄为 29.70 岁,男性占 61%。总共有 15.3%的患者报告有阳性的圆锥角膜家族史,57.7%的患者自述经常揉眼。

结论

该联合会的优势在于其国际合作设计和使用共同的数据收集工具。纳入和分析横断面和纵向数据将有助于回答圆锥角膜中仍存在的许多问题,包括影响进展和治疗结果的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/a38e810fedd1/12886_2023_3087_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/3a7afc0bbcb4/12886_2023_3087_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/a0b125cc39c9/12886_2023_3087_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/a38e810fedd1/12886_2023_3087_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/3a7afc0bbcb4/12886_2023_3087_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/a0b125cc39c9/12886_2023_3087_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e8a/10375634/a38e810fedd1/12886_2023_3087_Fig3_HTML.jpg

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本文引用的文献

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Prevalence of Keratoconus in a Population-Based Study in Syria.叙利亚一项基于人群研究中圆锥角膜的患病率。
J Ophthalmol. 2022 Jun 23;2022:6064533. doi: 10.1155/2022/6064533. eCollection 2022.
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Non-genetic risk factors for keratoconus.圆锥角膜的非遗传风险因素。
Clin Exp Optom. 2023 May;106(4):362-372. doi: 10.1080/08164622.2022.2062222. Epub 2022 May 3.
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A multi-ethnic genome-wide association study implicates collagen matrix integrity and cell differentiation pathways in keratoconus.一项多民族全基因组关联研究表明圆锥角膜与胶原基质完整性及细胞分化途径有关。
Commun Biol. 2021 Mar 1;4(1):266. doi: 10.1038/s42003-021-01784-0.
4
Eye rubbing in the aetiology of keratoconus: a systematic review and meta-analysis.揉眼在圆锥角膜病因学中的作用:一项系统评价与荟萃分析。
Graefes Arch Clin Exp Ophthalmol. 2021 Aug;259(8):2057-2067. doi: 10.1007/s00417-021-05081-8. Epub 2021 Jan 23.
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The Enigma of Environmental Factors in Keratoconus.圆锥角膜中环境因素的奥秘。
Asia Pac J Ophthalmol (Phila). 2020 Dec;9(6):549-556. doi: 10.1097/APO.0000000000000334.
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Risk factors and association with severity of keratoconus: the Australian study of Keratoconus.危险因素与圆锥角膜严重程度的相关性:澳大利亚圆锥角膜研究。
Int Ophthalmol. 2021 Mar;41(3):891-899. doi: 10.1007/s10792-020-01644-6. Epub 2020 Nov 16.
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Economic impact of keratoconus using a health expenditure questionnaire: A patient perspective.基于健康支出问卷的圆锥角膜经济学影响:患者视角。
Clin Exp Ophthalmol. 2020 Apr;48(3):287-300. doi: 10.1111/ceo.13704. Epub 2020 Jan 9.
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Association of Genetic Variation With Keratoconus.遗传变异与圆锥角膜的关联。
JAMA Ophthalmol. 2020 Feb 1;138(2):174-181. doi: 10.1001/jamaophthalmol.2019.5293.
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Eye Vis (Lond). 2019 Dec 1;6:38. doi: 10.1186/s40662-019-0164-z. eCollection 2019.
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