Dr. BIRENDRA PRASAD KASHYAP

Dr.Bharti Kashyap, Dr.BIBHUTI B. KASHYAP, Dr. NIDHI GAJENDRAGADKAR

Abstract

Non randomized & comparative study of 100 eyes with Bilateral Premium Multifocal Toric (Gr1) & Economic Multifocal Toric IOLs (Gr2)(add+3.00D) to Compare Cost & 90 days post op clinical outcome

90 days,UDVA ±SD 0.99±0.04 Gr1 & 0.975±0.06 Gr2, diff (0.016) not significant p=0.308,95%Cl (-0.158,0.049),UNVA comparable with ±SD 0.98±0.56 & 0.96±0.07,p=0.394, 95%CI (- 0.022, 0.055) Difference binocular CS nonsignificant photopic diff (1.11), P=0.204, 95%CI=(0.611, 2.63),Mesopic diff (2.88),P=0.253,95%CI(-2.09,7.87),Residual Spherical Equivalent(diff=-0.406,p=0.395,95%CI(-1.35,0.537)& Residual Astigmatism comparable,diff .085,p=.67,95%CI(-.48,.31) in both group, IOL Rotation comparable both gr, diff=-0.77,p=0.081,95%CI(-0.0968,1.638), Reading Speed on MN reading app & Dysphotopsia comparable,Direct Cost Highly sig for Gr-1

Economic models for multifocal toric IOL provide comparable clinical effectiveness &much cheaper solution to middle class Indian population needing Spectacle free vision

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