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Mydriasis and glaucoma: exploding the myth. A systematic review
1Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Diabetic Medicine : a Journal of the British Diabetic Association
|December 8, 2000
Abstract
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 1 in 3,380 and 1 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.