Barriers to the Diagnosis and Management of Keratoconus Among Optometrists in Kenya" 1 and their interest is noted.However, at the time of designing the study, the methodology was intentionally selected and considered rigorous enough to meet its specific objectives by accessing as many respondents as possible.Just to draw attention, which was perhaps missed, the survey utilized Likert scales to assess the confidence levels of the optometrists.We agree that such scales can be used to attain more specific responses.The recommendation of alternative study methods could be useful.Future studies on keratoconus are encouraged and longitudinal studies could be applied.
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Rashid et al. (2024) studied this question.
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