PGT1

Author Membership Number:
03242A

Author Name:
Dr.Chetali K Sharma

Presenting Author

MEMBERSHIP NO	AUTHOR NAME	EMAIL	MOBILE
03242A	Dr.Chetali K Sharma	[email protected]	6351040509

Title:

Synopsis:

OBJECTIVES:-1.Determine Spectacle usage, contrast sensitivity and stereopsis for common Activities of Daily Living(ADLs).
2. Determine overall patient satisfaction postoperatively via Questionnaire.
3. Compare any relationship between astigmatism and patient satisfaction.
STUDY DESIGN AND METHODOLOGY: -Prospective observational study at a tertiary eye care center in Pune, India. Adults >40 years undergoing sequential bilateral phacoemulsification with in-the-bag monofocal IOLs were enrolled (156 eyes; 78 patients). Dominant eyes targeted emmetropia; nondominant eyes targeted −0.75 to −1.50 D according to visual needs. Outcomes at 1 and 4 months included binocular unaided distance and near acuity (Snellen/N-notation near chart), Pelli–Robson contrast sensitivity, Titmus stereoacuity, and a validated questionnaire on spectacle dependence for Activities of Daily Living (ADLs).
RESULTS-Our study shows that Binocular UCVA for distance remained stable at 1 and 4 months postoperatively. Near UCVA improved, with the proportion of patients reading N6 increasing from 1month to 4months. BCVA improved significantly post-operatively as compared to pre-operatively. 71.8% of patients had minimal to no spectacle use, while 16.7% used spectacles intermittently, and only 11.5% required full-time spectacle use. Maximum needed glasses while reading. Satisfaction was higher in those with lower astigmatism. Stereopsis significantly improved over time (p < 0.001), whereas contrast sensitivity remained stable with no significant differences between spectacle usage groups.
CONCLUSION-Modified monovision cataract surgery proves to be an effective strategy for reducing spectacle dependence in most daily activities, although additional near vision correction may still be necessary for some patients.

Scientific Program

PGT1