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Abstract #15682 Published in IGR 2-3
Mydriasis and glaucoma: exploding the myth. A systematic review
Pandit RJ; Taylor RDiabetic Medicine 2000; 17: 693-699
AIMS: To investigate the risk of inducing acute glaucoma following mydriasis. METHODS: Systematic review of published research 1933-1999. RESULTS: The risk of inducing acute glaucoma following mydriasis with tropicamide alone is close to zero, no case being identified. The risk with long-acting or combined agents is between one in 3380 and one in 20,000. The presence of chronic glaucoma constitutes no additional risk. CONCLUSIONS: Mydriasis with tropicamide alone is safe even in people with chronic glaucoma. It should be advised in all patients when thorough retinal examination is indicated.
Dr. R. J. Pandit, Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Classification:
6.13 Provocative tests (Part of: 6 Clinical examination methods)
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
