Prevalence of corneal astigmatism and axial length in cataract surgery candidates in Turkey
Year 2017,
Volume: 3 Issue: 1, 25 - 29, 04.03.2017
Rahmi Duman
,
Sadik Gorkem Cevik
,
Mediha Tok Cevik
,
Resat Duman
Abstract
Objective. To analyze the corneal astigmatism and axial length values in cataract surgery candidates. Methods: The files of patients who undergone cataract surgery between November 2012 and November 2013 were retrospectively selected and reviewed. The preoperative corneal keratometry measurements in the flat and steep axis and the axial lengths of the patients were recorded. Results. The study comprised of 449 eyes of 449 patients with a mean age of 68.6±9.8 (range; 40-90) years. The mean axial length value was 23.1±1.0 mm; mean corneal astigmatism was 1.00±0.70 D. The corneal astigmatism was 1.00 D or less in 315 eyes (70.1%); between 1.00 and 2.00 D in 99 eyes (22%); and 2.00 D or more in 35 eyes (8%). With-the-rule astigmatism was present in 51% of the patients, against-the-rule astigmatism was present in 32% of the patients, and oblique astigmatism was present in 17% of the patients. We observed an increase in against-the-rule astigmatism (p=0.032) and oblique astigmatism with age (p=0.040). Conclusions. The current study is the most populous study in this field of research ever carried out in our country. The mean axial length in our study in comparison to Chinese and German populations was found to be shorter.
References
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Year 2017,
Volume: 3 Issue: 1, 25 - 29, 04.03.2017
Rahmi Duman
,
Sadik Gorkem Cevik
,
Mediha Tok Cevik
,
Resat Duman
References
- [1] Holland E, Lane S, Horn JD, Ernest P, Arleo R, Miller KM. The AcrySof toric intraocular lens in subjects with cataracts and corneal astigmatism: a randomized, subject-masked, parallelgroup, 1-year study. Ophthalmology 2010;117:2104-11.
- [2] Ernest P, Potvin R. Effects of preoperative corneal astigmatism orientation on results with a low-cylinder-power toric intraocular lens. J Cataract Refract Surg 2011;37:727-32.
- [3] Hoffmann PC, Auel S, Hutz WW. Results of higher power toric intraocular lens implantation. J Cataract Refract Surg 2011;37:1411-8.
- [4] Hoffer KJ. Biometry of 7,500 cataractous eyes. Am J Ophthalmol 1980;90:360-8.
- [5] Ferrer-Blasco T, Montes-Mico R, Peixoto-de-Matos SC, Gonzalez-Meijome JM, Cervino A. Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg 2009;35:70-5.
- [6] Guan Z, Yuan F, Yuan YZ, Niu WR. Analysis of corneal astigmatism in cataract surgery candidates at a teaching hospital in Shanghai, China. J Cataract Refract Surg 2012;38:1970-77.
- [7] Ninn-Pedersen K, Stenevi U, Ehinger B. Cataract patients in a defined Swedish population 1986-1990. Acta ophthalmologica (Copenh) 1994;72:10-5.
- [8] Chen W, Zuo C, Chen C, Su J, Luo L, Congdon N, et al. Prevalence of corneal astigmatism before cataract surgery in Chinese patients. J Cataract Refract Surg 2013;39:188-92.
- [9] Khan MI, Muhtaseb M. Prevalence of corneal astigmatism in patients having routine cataract surgery at a teaching hospital in the United Kingdom. J Cataract Refract Surg 2011;37:1751-5.
- [10] Mozayan EL, Jimmy K. Update on astigmatism management. Curr Opin Ophthalmol 2014;25:286-90.
- [11] Kamis U, Kerimoglu H, Bozkurt B, Ozturk BT, Turan M, Ozkagnici A. The reliability of biometric measurements taken with IOLMaster in calculation of intraocular lens power Glokom Katarakt 2009;4:234-7. [Article in Turkish]
- [12] Gunes A. Katarakt Cerrahisi Oncesinde Korneal Astigmatizma Yayginligi. MN Ophthalmology 2012;4:26-30. [Article in Turkish]
- [13] Cui Y, Meng Q, Guo H, Zeng J, Zhang H, Zhang G, et al. Biometry and corneal astigmatism in cataract surgery candidates from Southern China. J Cataract Refract Surg 2014;40:1661-9.
- [14] Hoffmann PC, Hutz WW. Analysis of biometry and prevalence data for corneal astigmatism in 23 239 eyes. J Cataract Refract Surg 2010;36:1479-85.
- [15] Wong TY, Foster PJ, Ng TP, Tielsch JM, Johnson GJ, Seah SKL. Variations in ocular biometry in an adult Chinese population in Singapore: the Tanjong Pagar Survey. Invest Ophthalmol Vis Sci 2001;42:73-80.
- [16] Grosvenor T. Reduction in axial length with age: an emmetropizing mechanism for the adult eye? Am J Optom Physiol Opt 1987;64:657-63.
- [17] Grosvenor T. Etiology of astigmatism. Am J Optom Physiol Opt 1978;55:214-8.
- [18] Read SA, Collins MJ, Carney LG. The Influence of eyelid morphology on normal corneal shape. Invest Ophthalmol Vis Sci 2007;48:112-9.
- [19] De Bernardo M, Zeppa L, Cennamo M, Iaccarino S, Zeppa L, Rosa N. Prevalence of corneal astigmatism before cataract surgery in Caucasian patients. Eur J Ophthalmol 2014;24:494- 500.
- [20] Roszkowska AM, De Grazia L, Meduri A, Wylegala E, Aragona P. Long-term results of excimer laser procedure to correct astigmatic refractive errors. Med Sci Monit 2013;19:927- 33.
- [21] Swiatek B, Michalska-Malecka K, Dorecka M, Romaniuk D, Romaniuk W. Results of the AcrySof toric intraocular lenses implantation. Med Sci Monit 2012;18:PI1-4.
- [22] Zhang L, Sy ME, Mai H, Yu F, Hamilton DR. Effect of posterior corneal astigmatism on refractive outcomes after toric intraocular lens implantation. J Cataract Refract Surg 2015;41:84-9.