A Comprehensive Approach to Managing Degenerative Myopia: Optical and Non-Optical Interventions in Tertiary Eye Care Hospital

Purpose: To demonstrate the integration of optical and non-optical approaches for the management of degenerative myopia in a tertiary eye care hospital. Methods & Materials: A total of 60 patients were included in this study who were diagnosed with degenerative myopia in the medical retina & referred to the low-vision & contact lens Department for optical needs and also for non-optical devices for better enhancement of their daily lives. Procedures like History of the individuals, visual acuity, Refraction, Contrast sensitivity, Spectacle/ contact lens dispense, distance device trial, near device trial, and non-optical measurements were done. Results: The mean age was 27.019.22 among 60 patients. Age onset of developing degenerative myopia was found common in less than 10 years old and between 10 and 20 years old that was 37% and 21% respectively. Most of the patients were managed with the spectacle that was 68%, 10% by the contact lens, 10% by both spectacle and contact lens, 9% by spectacle & distance device, and 3% by spectacle & near device. Bright light during near work is common among non-optical devices were 38.3% of total respondents & most common fundus features were found tigroid fundus (40.20), temporal crescent (18.70), tilted disc & peripapillary atrophy (8.30%) each, lattice degeneration 7.50%, lacquer cracks (5.50%). 50% of the total patients were found low-vison due to degenerative myopia. Conclusion: Pathological myopic patient suffers both clinically & socially. So, proper management could improve functional vision & rehabilitate the patient for better life. Keywords: Myopia, Myopic Macular Degeneration, Contact lens, Low-Vision, Optical & Non-Optical Devices.