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

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.

• Authors: R J Pandit, R Taylor
• Journal: Diabetic medicine : a journal of the British Diabetic Association (Diabet Med) Vol. 17 Issue 10 Pg. 693-9 (Oct 2000) ISSN: 0742-3071 [Print] England
• PMID: 11110501 (Publication Type: Journal Article, Review, Systematic Review)

Chemical References

• Mydriatics
• Tropicamide

Topics

• Glaucoma (etiology)
• Humans
• Mydriasis (complications)
• Mydriatics (adverse effects)
• Risk Factors
• Safety
• Tropicamide (adverse effects)