The prevalence of keratoconus in Aotearoa New Zealand is purported to be higher than the global average1. This has been attributed to Aotearoa having the largest number of Māori and Pasifika worldwide2; populations within which the prevalence of keratoconus has been suspected to be disproportionately high (Fig 1)2-4. Government census figures recorded the number of Pasifika in Aotearoa in 2018 at 381,642, encompassing more than 40 distinct ethnic groups5. Pasifika are projected to undergo significant population growth over the next two decades, bringing with it a potential rise in keratoconus cases.
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