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Corneal astigmatism in cataract surgery patients from Bosnia and Herzegovina

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Abstract

Purpose

To determine corneal astigmatism prevalence, its correlations with age and symmetry pattern in fellow eyes of patients undergoing cataract surgery.

Methods

This is a clinical-based retrospective cross-sectional study. Keratometry measurements of patients undergoing cataract surgery assigned to University Clinical Center Tuzla, Bosnia and Herzegovina, between January 2011 and June 2012 were recorded and analyzed retrospectively.

Results

The study consisted of 4080 eyes of 2205 consecutive cataract surgery patients with a mean age of 68.24 years ± 9.25 (SD) (range 32–84 years), and 54.0% of the patients were women. Mean corneal astigmatism was 0.72 ± 0.61 D (range 0–6.5 D). The prevalence of corneal astigmatism 1.0 D or more was in 1291 eyes (31.64%), 1.5 D or more in 736 eyes (18.03%), 2.0 D or more in 396 eyes (9.71%) and 3.0 D or more in 108 eyes (2.65%). There was no significant difference in the magnitude of astigmatism between age groups (p = 0.10), male and female (p = 0.29) or right and left (p = 0.75) eyes. The prevalence and amount of astigmatism increased with age (p < 0.05). Gradual shift from with-the-rule astigmatism toward against-the-rule astigmatism was observed (p = 0.03). Patients with higher amount of astigmatism in one eye are more likely to have significant astigmatism in fellow eye (p < 0.01). Symmetry in pairs of eyes is present in eyes with astigmatism greater than 2.5 D (p < 0.01).

Conclusion

This study provides useful reference data for cataract surgeons and patients from Bosnia and Herzegovina.

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References

  1. Flaxman SR, Bourne RRA, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, Vision Loss Expert Group of the Global Burden of Disease Study et al (2017) Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health 5:e1221–e1234

    Article  PubMed  Google Scholar 

  2. Murthy G, John N, Shamanna BR, Pant HB (2012) Elimination of avoidable blindness due to cataract: where do we prioritize and how should we monitor this decade? Indian J Ophthalmol 60:438–445

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gomez ML (2014) Measuring the quality of vision after cataract surgery. Curr Opin Ophthalmol 25:3–11

    Article  PubMed  Google Scholar 

  4. Sahin A, Hamrah P (2012) Clinically relevant biometry. Curr Opin Ophthalmol 23:47–53

    Article  PubMed  PubMed Central  Google Scholar 

  5. Rubenstein JB, Raciti M (2013) Approaches to corneal astigmatism in cataract surgery. Curr Opin Ophthalmol 24:30–34

    Article  PubMed  Google Scholar 

  6. Jin C, Chen X, Law A, Kang Y, Wang X, Xu W, Yao K (2017) Different-sized incisions for phacoemulsification in age-related cataract. Cochrane Database Syst Rev 9:CD010510

    PubMed  Google Scholar 

  7. Visser N, Bauer NJ, Nuijts RM (2013) Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg 39:624–637

    Article  PubMed  Google Scholar 

  8. Ferrer-Blasco T, Montés-Micó R, Peixoto-de-Matos SC, González-Méijome JM, Cerviño A (2009) Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg 35:70–75

    Article  PubMed  Google Scholar 

  9. Hoffmann PC, Hütz WW (2010) Analysis of biometry and prevalence data for corneal astigmatism in 23,239 eyes. J Cataract Refract Surg 36:1479–1485

    Article  PubMed  Google Scholar 

  10. Lekhanont K, Wuthisiri W, Chatchaipun P, Vongthongsri A (2011) Prevalence of corneal astigmatism in cataract surgery candidates in Bangkok, Thailand. J Cataract Refract Surg 37:613–615

    Article  PubMed  Google Scholar 

  11. Khan MI, Muhtaseb M (2011) Prevalence of corneal astigmatism in patients having routine cataract surgery at a teaching hospital in the United Kingdom. J Cataract Refract Surg 37:1751–1755

    Article  PubMed  Google Scholar 

  12. Ercegović A, Brajković J, Surać IK, Haluzan MB (2012) Prevalence, distribution and types of corneal astigmatism in cataract surgery patients in Sibenik County. Acta Clin Croat 51:275–278

    PubMed  Google Scholar 

  13. Guan Z, Yuan F, Yuan YZ, Niu WR (2012) Analysis of corneal astigmatism in cataract surgery candidates at a teaching hospital in Shanghai, China. J Cataract Refract Surg 38:1970–1977

    Article  PubMed  Google Scholar 

  14. Chen W, Zuo C, Chen C, Su J, Luo L, Congdon N, Liu Y (2013) Prevalence of corneal astigmatism before cataract surgery in Chinese patients. J Cataract Refract Surg 39:188–192

    Article  PubMed  Google Scholar 

  15. Lyall DA, Srinivasan S, Ng J, Kerr E (2014) Changes in corneal astigmatism among patients with visually significant cataract. Can J Ophthalmol 49:297–303

    Article  PubMed  Google Scholar 

  16. De Bernardo M, Zeppa L, Cennamo M, Iaccarino S, Zeppa L, Rosa N (2014) Prevalence of corneal astigmatism before cataract surgery in Caucasian patients. Eur J Ophthalmol 24:494–500

    Article  PubMed  Google Scholar 

  17. Cui Y, Meng Q, Guo H, Zeng J, Zhang H, Zhang G, Huang Y, Lan J (2014) Biometry and corneal astigmatism in cataract surgery candidates from Southern China. J Cataract Refract Surg 40:1661–1669

    Article  PubMed  Google Scholar 

  18. Isyaku M, Ali SA, Hassan S (2014) Preoperative corneal astigmatism among adult patients with cataract in Northern Nigeria. Indian J Ophthalmol 62:1094–1095

    Article  PubMed  PubMed Central  Google Scholar 

  19. Yuan X, Song H, Peng G, Hua X, Tang X (2014) Prevalence of corneal astigmatism in patients before cataract surgery in Northern China. J Ophthalmol 2014:536412

    PubMed  PubMed Central  Google Scholar 

  20. Oh EH, Kim H, Lee HS, Hwang KY, Joo CK (2015) Analysis of anterior corneal astigmatism before cataract surgery using power vector analysis in eyes of Korean patients. J Cataract Refract Surg 41:1256–1263

    Article  PubMed  Google Scholar 

  21. Prakairungthong N, Charukamnoetkanok P, Isipradit S (2015) Prevalence of preoperative corneal astigmatism in patients undergoing cataract surgery at Mettapracharak Hospital, Thailand. J Med Assoc Thai 98:878–882

    PubMed  Google Scholar 

  22. Collier Wakefield O, Annoh R, Nanavaty MA (2016) Relationship between age, corneal astigmatism, and ocular dimensions with reference to astigmatism in eyes undergoing routine cataract surgery. Eye (Lond) 30:562–569

    Article  CAS  Google Scholar 

  23. Mohammadi M, Naderan M, Pahlevani R, Jahanrad A (2016) Prevalence of corneal astigmatism before cataract surgery. Int Ophthalmol 36:807–817

    Article  PubMed  Google Scholar 

  24. Curragh DS, Hassett P (2017) Prevalence of corneal astigmatism in an NHS cataract surgery practice in Northern Ireland. Ulster Med J 86:25–27

    PubMed  PubMed Central  Google Scholar 

  25. Michelitsch M, Ardjomand N, Vidic B, Wedrich A, Steinwender G (2017) Prevalence and age-related changes of corneal astigmatism in patients before cataract surgery. Ophthalmologe 114:247–251

    Article  CAS  PubMed  Google Scholar 

  26. Yu JG, Zhong J, Mei ZM, Zhao F, Tao N, Xiang Y (2017) Evaluation of biometry and corneal astigmatism in cataract surgery patients from Central China. BMC Ophthalmol 7:56

    Article  Google Scholar 

  27. Prasher P, Sandhu JS (2017) Prevalence of corneal astigmatism before cataract surgery in Indian population. Int Ophthalmol 37:683–689

    Article  PubMed  Google Scholar 

  28. Moulick PS, Kalra D, Sati A, Gupta S, Khan MA, Singh A (2018) Prevalence of corneal astigmatism before cataract surgery in Western Indian Population. Med J Armed Forces India 74:18–21

    Article  CAS  PubMed  Google Scholar 

  29. Guggenheim JA, Zayats T, Prashar A, To CH (2008) Axes of astigmatism in fellow eyes show mirror rather than direct symmetry. Ophthalmic Physiol Opt 28:327–333

    Article  PubMed  Google Scholar 

  30. Asharlous A, Khabazkhoob M, Yekta A, Hashemi H (2017) Comprehensive profile of bilateral astigmatism: rule similarity and symmetry patterns of the axes in the fellow eyes. Ophthalmic Physiol Opt 37:33–41

    Article  PubMed  Google Scholar 

  31. McKendrick AM, Brennan NA (1997) The axis of astigmatism in right and left eye pairs. Optom Vis Sci 74:668–675

    Article  CAS  PubMed  Google Scholar 

  32. Pineda R, Denevich S, Lee WC, Waycaster C, Pashos CL (2010) Economic evaluation of toric intraocular lens: a short- and long-term decision analytic model. Arch Ophthalmol 128:834–840

    Article  PubMed  Google Scholar 

  33. Hashemi H, Khabazkhoob M, Soroush S, Shariati R, Miraftab M, Yekta A (2016) The location of incision in cataract surgery and its impact on induced astigmatism. Curr Opin Ophthalmol 27:58–64

    Article  PubMed  Google Scholar 

  34. Koch DD, Ali SF, Weikert MP, Shirayama M, Jenkins R, Wang L (2012) Contribution of posterior corneal astigmatism to total corneal astigmatism. J Cataract Refract Surg 38:2080–2087

    Article  PubMed  Google Scholar 

  35. Hashemi H, Beiranvand A, Khabazkhoob M, Mehravaran S, Emamian MH, Yekta A, Shariati M, Fotouhi A (2016) Corneal elevation and keratoconus indices in a 40- to 64-year-old population, Shahroud Eye Study. J Curr Ophthalmol 27:92–98

    Article  PubMed  PubMed Central  Google Scholar 

  36. McMonnies CW (2013) Quo vadis older keratoconus patients? Do they die at younger ages? Cornea 32:496–502

    Article  PubMed  Google Scholar 

  37. Feizi S, Delfazayebaher S, Javadi MA, Karimian F, Ownagh V, Sadeghpour F (2018) Mean posterior corneal power and astigmatism in normal versus keratoconic eyes. J Ophthalmic Vis Res 13:93–100

    Article  PubMed  PubMed Central  Google Scholar 

  38. Reitblat O, Levy A, Kleinmann G, Abulafia A, Assia EI (2016) Effect of posterior corneal astigmatism on power calculation and alignment of toric intraocular lenses: comparison of methodologies. J Cataract Refract Surg 42:217–225

    Article  PubMed  Google Scholar 

  39. Hayashi K, Manabe SI, Hirata A, Yoshimura K (2017) Changes in corneal astigmatism during 20 years after cataract surgery. J Cataract Refract Surg 43:615–621

    Article  PubMed  Google Scholar 

  40. Vihlen FS, Wilson G (1983) The relation between eyelid tension, corneal toricity, and age. Invest Ophthalmol Vis Sci 24:1367–1373

    CAS  PubMed  Google Scholar 

  41. Read SA, Collins MJ, Carney LG (2007) A review of astigmatism and its possible genesis. Clin Exp Optom 90:5–19

    Article  PubMed  Google Scholar 

  42. Howland HC, Sayles N (1985) Photokeratometric and photorefractive measurements of astigmatism in infants and young children. Vision Res 25:73–81

    Article  CAS  PubMed  Google Scholar 

  43. Lee H, Chung JL, Kim EK, Sgrignoli B, Kim TI (2012) Univariate and bivariate polar value analysis of corneal astigmatism measurements obtained with 6 instruments. J Cataract Refract Surg 38:1608–1615

    Article  PubMed  Google Scholar 

  44. Roh HC, Chuck RS, Lee JK, Park CY (2015) The effect of corneal irregularity on astigmatism measurement by automated versus ray tracing keratometry. Medicine (Baltimore) 94:e677

    Article  Google Scholar 

  45. Galindo-Ferreiro A, De Miguel-Gutierrez J, González-Sagrado M, Galvez-Ruiz A, Khandekar R, Schellini S, Galindo-Alonso J (2017) Validity of autorefractor based screening method for irregular astigmatism compared to the corneal topography—a cross sectional study. Int J Ophthalmol 10:1412–1418

    PubMed  PubMed Central  Google Scholar 

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Ophthalmology, University Clinical Center Tuzla, Trnovac bb, 75000, Tuzla, Bosnia and Herzegovina

    Jasmin Zvorničanin

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  1. Jasmin Zvorničanin
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Correspondence to Jasmin Zvorničanin.

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Zvorničanin, J. Corneal astigmatism in cataract surgery patients from Bosnia and Herzegovina. Int Ophthalmol 39, 1753–1760 (2019). https://doi.org/10.1007/s10792-018-0998-8

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  • DOI: https://doi.org/10.1007/s10792-018-0998-8

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