A Contralateral Eye Study Comparing Corneal Biomechanics in Subjects with Bilateral Keratoconus with Unilateral Vogt’s Striae

The aim of this study was to analyze and compare corneal biomechanics in patients with bilateral keratoconus (KCN) with unilateral Vogt's striae. In this prospective contralateral study, visual acuity, refraction, and corneal biomechanical parameters were evaluated in patients with bilateral KCN with unilateral Vogt's striae using the Ocular Response Analyzer (ORA) (Reichert Inc., Buffalo, NY) and Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany). All patients underwent a comprehensive ophthalmic examination, including uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), refraction (calculated by vectorial analysis), slit-lamp biomicroscopy, and Scheimpflug-based tomography. The patients enrolled in this study had a reliable diagnosis of bilateral clinical KCN with unilateral Vogt's striae based on slit-lamp signs as well as corneal topographic/tomographic maps. Fifty patients aged 18 to 40 years were included in this study. There was a significant difference in all clinical (distance visual acuity and refraction) and corneal biomechanical parameters between KCN eyes with and without unilateral Vogt's striae (all P < 0.05). However, there were no significant differences in peak distance (P = 0.291), corneal compensated intraocular pressure (IOPCC) (P = 0.08), and J45 (P = 0.131) between the two groups. Most corneal biomechanical parameters, except for peak distance, IOPCC, and J45, showed a significant difference between KCN eyes with and without unilateral Vogt's striae. Vogt's striae may cause corneal biomechanical deterioration. This information could be used in clinical practice.