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Diabet Med. 2000 Oct;17(10):693-9.

Mydriasis and glaucoma: exploding the myth. A systematic review.

Author information

1
Department of Ophthalmology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

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.

[Indexed for MEDLINE]

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