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The authors who have no affiliation with CognitiveCare, Inc. declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Ethics"}},{"value":"This study followed the ethical guidelines set by the IRB at L.V. Prasad Eye Institute in Bhubaneswar, India (IRB No. 2024-202-BHR-8). To protect patient privacy, all clinical data were de-identified before any analysis was done. Because the study was retrospective and used anonymized records, the IRB waived the need for individual informed consent, in line with institutional policy.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Ethics"}}]}}