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Professional baseline establishment Comprehensive eye examination before starting: Visual acuity testing (Snellen chart, standardized lighting), refraction determining prescription, intraocular pressure measurement, dilated fundus examination (detailed retinal view), optical coherence tomography (OCT) measuring retinal layer thickness, visual field testing for glaucoma suspects, fundus photography documenting retinal appearance, macular pigment optical density if AMD concern

15 SMVI was assessed using two items