Abstract Issue

Volume 13 Issue 11 (November) 2024

Original Articles

Age related changes in characteristics of corneal astigmatism in Indian cataract patients: A cross-sectional study from foothills of Himalaya
Dr. Tanya Shukla, Dr. M L Pandey

Background:The World Health Organization's 2019 report on vision states that an overwhelming 123.7 million individuals globally suffer from moderate to severe distant vision impairment or blindness owing to uncorrected refractive defects. According to a latest systematic review and meta-analysis, astigmatism is the most widespread refractive defect in adults. Astigmatism affects visual acuity, and cataracts are a common age-related condition necessitating surgical intervention. Understanding these conditions, their implications, and available treatment options is essential for promoting ocular health and enhancing quality of life.Materials & Methods:The study aimed at analyzing age related changes in characteristics of corneal astigmatism in patients undergoing cataract surgery. This observational cross-sectional study was conducted at the outpatient eye department of M.M. Institute of Medical Sciences & Research, Mullana, Ambala. Prior to participation, all patients were provided informed consent, and the institutional ethical committee approved the study. 200 eyes of 200 patients that met the inclusion and exclusion criteria were enrolled.Results:There was a statistically significant correlation between age and degree of corneal astigmatism (p value = 0.001) thus showing increase in prevalence of higher degree of corneal astigmatism with increase in age. We found a significant correlation (χ2 = 18.725, p = 0.028) between different types of astigmatism in different age group categories. It was observed that there is an increase in prevalence of ATR astigmatism with a simultaneous fall in WTR astigmatism as age progresses.Conclusion: We conclude in our study, that there was significantly higher value of Astigmatism with increase in age and hence elderly patients can be actively managed on presentation. We can therefore opt for surgical techniques and toric IOLs in elderly patients for correction of pre-operative corneal astigmatism during cataract surgery for achieving desired post-operative results.

 
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