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Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
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Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
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Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism

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Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism
Journal Article

Effect of Trabeculectomy on Mean and Centroid Surgically Induced Astigmatism

2022
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Overview
This study aimed to investigate the arithmetic mean of surgically induced astigmatism (M-SIA) and the centroid of surgically induced astigmatism (C-SIA) after standard trabeculectomy. We comprised 185 eyes of 143 consecutive patients (mean age ± standard deviation, 67.7 ± 11.6 years) who underwent trabeculectomy and completed at least a 3-month routine follow-up. In all cases, the scleral flap was made at the nasal-superior location. Corneal astigmatism was measured with an automated keratometer. We calculated the M-SIA and the C-SIA using vector analysis and applied the astigmatism double angle plot. The magnitude of corneal astigmatism increased significantly, from 1.17 ± 0.92 D preoperatively to 1.77 ± 1.05 D postoperatively (paired t-test, p < 0.001). The M-SIA was 1.12 ± 0.55 D, and the C-SIA was 0.73 D @64° ± 1.02 D in the right eye group, and the M-SIA was 1.08 ± 0.48 D and the C-SIA was 0.60 D @117° ± 1.03 D in the left eye group. The C-SIA showed an astigmatic shift toward the nasal-superior location of the scleral flap creation. Our results revealed that trabeculectomy induced the SIA in the direction of the scleral flap location and that the C-SIA was much lower than the M-SIA in eyes undergoing trabeculectomy.