Hurdle

Keratoconus Outcomes Research Questionnaire (KORQ)

screening

Digital administration of Keratoconus Outcomes Research Questionnaire (KORQ) to collect structured patient inputs for validated score calculation and clinical follow-up.

Keratoconus Outcomes Research Questionnaire (KORQ)

Clinical intent

Keratoconus it is a progressive corneal disease with a typical onset in adolescence or early adulthood, although some cases of severe keratoconus have been reported in children as young as 4 years of age. It is a progressive asymmetric corneal disease characterized by steepening and distortion, apical thinning, and central corneal scarring.

References

[1] https://cdn-links.lww.com/permalink/opx/a/opx_94_4_2016_11_04_khadka_ovs16138_sdc1.pdf [2] https://www.nature.com/articles/s41598-021-92346-1

Pathway

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Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

Keratoconus Outcomes Research Questionnaire (KORQ) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
How much does your vision interfere with using a computer screen? 
How much does your vision interfere with driving during the day? 
How much does your vision interfere with driving during the night? 
How much does your vision interfere with reading street signs? 
How much does your vision interfere with watching TV? 
How much does your vision interfere with walking up/down steps? 
How much does your vision interfere with avoiding objects in your path? 
How much does your vision interfere with your ability to do your job? 
How much does your vision interfere with seeing in the distance? 
How much do on coming lights interfere with your ability to see, to do your tasks? 
How much does your vision interfere with doing fine tasks at near? 
How much does your vision interfere with doing your hobby? 
How much does your vision interfere with recognizing faces? 
How much does your vision interfere with seeing in poor light? 
How much does your vision interfere with doing household tasks? (e.g. cleaning, ironing, washing, washing up) 
How much does your vision interfere with judging depth? 
How much does your vision interfere with seeing small objects in the distance? (e.g. golf ball, darts) 
How much does your vision interfere with sighting tasks? (e.g. camera, microscope, binoculars etc.) 
How much are you troubled by distorted vision? 
How much are you troubled by glare and wearing sunglasses all the time? 
How much does a bright sunny day interfere with your ability to see, to do your tasks? 
How much are you troubled by wearing rigid gas permeable contact lenses? 
How much are you troubled by headaches when wearing your glasses/contact lenses? 
How much are you troubled by dry eyes? 
With respect to yours eyes and vision: How much are you troubled by windy days? 
With respect to yours eyes and vision: How much are you troubled when you are tired? 
With respect to yours eyes and vision: How much are you troubled by dry days? 
With respect to yours eyes and vision: How much are you troubled by dusty days? 
With respect to yours eyes and vision: How much are you troubled by smoky environments?