Review Article

The Genetic and Environmental Factors for Keratoconus

Table 2

Population-based epidemiological studies of KC.

AuthorLocationAge in years (mean)Sample sizePrevalence/100,000 (cases)MethodSampling method

Hofstetter (1959) [65]Indianapolis, USA1–7913345120 (16)Placido discRural volunteers
Santiago et al. (1995) [66]France18–226701190TopographyArmy recruits
Jonas et al. (2009) [33]Maharashtra, India>30
(49.4 ± 13.4)
46672300 (128)KeratometryRural volunteers (8 villages)
Millodot et al. (2011) [27]Jerusalem, Israel18–54
(24.4 ± 5.7)
9812340 (23)TopographyUrban volunteers (1 college)
Waked et al. (2012) [67]Beirut, Lebanon22–26923300 (3)TopographyUrban volunteers (1 college)
Xu et al. (2012) [68]Beijing, China50–93
(64.2 ± 9.8)
3166900 (27)Optical low coherence reflectometryRural + urban volunteers
Hashemi et al. (2013) [69]Shahrud, Iran50.83 ± 0.124592760 (35)TopographyUrban volunteers from random cluster
Hashemi et al. (2013) [70]Tehran, Iran14–81
(40.8 ± 17.1)
4263300 (14)TopographyUrban volunteers (stratified cluster)
Shneor et al. (2014) [41]Haifa, Israel18–60
(25.05 ± 8.83)
3143180 (10)TopographyUrban volunteers (1 college)
Hashemi et al. (2014) [71]Mashhad, Iran20–34
(26.1 ± 2.3)
10732500 (26)TopographyUrban volunteers (stratified cluster in 1 university)

The methods for detecting KC used in these studies are now considered inadequate and the results should be interpreted with caution.