Clinical Scorecard: Can Chatbots Be Used for Keratoconus Patient Education?
At a Glance
| Category | Detail |
|---|---|
| Condition | Keratoconus |
| Key Mechanisms | Scleral lenses correct corneal irregularity and improve vision, potentially delaying or reducing the need for corneal transplantation. |
| Target Population | Individuals with keratoconus who cannot tolerate other corrective options. |
| Care Setting | Scleral lens practices and patient education settings. |
Key Highlights
- Scleral lenses can significantly reduce the need for keratoplasty in keratoconus patients.
- Patients fitted with scleral lenses experience faster vision improvement and fewer complications compared to those undergoing keratoplasty.
- Chatbots like Bard and ChatGPT provide accurate and actionable information for keratoconus patient education.
- The American Academy of Ophthalmology's website scored lower in understandability compared to chatbot responses.
- Chatbots may alleviate the burden of patient education on healthcare systems.
Guideline-Based Recommendations
Diagnosis
- Assess corneal irregularity and visual acuity in patients with keratoconus.
Management
- Consider scleral lenses before surgical intervention for patients unable to tolerate other corrective options.
Monitoring & Follow-up
- Regular follow-up to assess the effectiveness of scleral lenses and monitor for complications.
Risks
- Potential complications from scleral lens wear and the need for surgical intervention if lenses are not tolerated.
Patient & Prescribing Data
Patients with keratoconus, particularly those with severe cases.
Scleral lenses have shown to reduce the need for corneal transplants by over 50% in severe keratoconus cases.
Clinical Best Practices
- Utilize chatbots for patient education under clinician supervision.
- Provide patients with clear, understandable resources regarding scleral lenses and keratoconus.
References
- DeLoss KS, Fatteh NH, Hood CT. Prosthetic Replacement of the Ocular Surface Ecosystem (PROSE) scleral device compared to keratoplasty for the treatment of corneal ectasia.
- Koppen C, Kreps EO, Anthonissen L, et al. Scleral Lenses Reduce the Need for Corneal Transplants in Severe Keratoconus.
- Ling JJ, Mian SI, Stein JD, et al. Impact of Scleral Contact Lens Use on the Rate of Corneal Transplantation for Keratoconus.
- Özer Özcan Z, Doğan L, Yilmaz IE. Artificial Doctors: Performance of Chatbots as a Tool for Patient Education on Keratoconus.
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