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. 2000 Oct;17(10):693-9.
doi: 10.1046/j.1464-5491.2000.00368.x.

Mydriasis and glaucoma: exploding the myth. A systematic review

R J Pandit  1 , R Taylor
Affiliations

Mydriasis and glaucoma: exploding the myth. A systematic review

R J Pandit et al. Diabet Med. 2000 Oct.

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.

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