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Glaucoma surgery and induced astigmatism: a systematic review
- Source :
- Eye and Vision, Vol 4, Iss 1, Pp 1-5 (2017), Eye and Vision
- Publication Year :
- 2017
- Publisher :
- BMC, 2017.
-
Abstract
- Background The refractive outcomes of glaucoma surgeries, particularly their effect on astigmatism, are incompletely understood. Main body Trabeculectomy is associated with a considerable amount of with-the-rule astigmatic change in the immediate postoperative period. This is followed by a gradual against-the-rule shift. These changes are altered with the use of mitomycin C (MMC). Non-penetrating surgery such as deep sclerectomy is also associated with a similar or smaller degree of induced astigmatism. Minimally invasive glaucoma surgery appears to be astigmatically neutral. There is no clear evidence regarding refractive outcomes of glaucoma drainage device surgery. Conclusions Induced astigmatism may account for a reduction in unaided visual acuity in the early postoperative period following a successful trabeculectomy. These changes appear to stabilise at 3 months, and it would be prudent to defer the prescription of new glasses until this time. If sequential cataract surgery is to be performed, toric intraocular lenses can be a useful option for astigmatic correction.
- Subjects :
- medicine.medical_specialty
Visual acuity
Minimally invasive glaucoma surgery
genetic structures
medicine.medical_treatment
Glaucoma
Trabeculectomy
Review
Astigmatism
Health Professions (miscellaneous)
03 medical and health sciences
0302 clinical medicine
lcsh:Ophthalmology
Ophthalmology
Glaucoma surgery
Medicine
Reduction (orthopedic surgery)
business.industry
Filtration surgery
Cataract surgery
medicine.disease
eye diseases
Surgery
lcsh:RE1-994
030221 ophthalmology & optometry
sense organs
Refractive outcome
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 23260254
- Volume :
- 4
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Eye and Vision
- Accession number :
- edsair.doi.dedup.....fb757b859dc181dc9645508ba9c1e7c9