Effect of pterygium on corneal topography and astigmatism

Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Ma...

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Main Authors: Sudarat Lornanthakul, Napaporn Tananuvat
Format: บทความวารสาร
Language:English
Published: Faculty of Medicine, Chiang Mai University 2019
Online Access:https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/92739/72622
http://cmuir.cmu.ac.th/jspui/handle/6653943832/65050
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-650502019-05-07T10:02:38Z Effect of pterygium on corneal topography and astigmatism ผลของต้อเนื้อต่อลักษณะพื้นผิวและภาวะสายตาเอียงของกระจกตา Sudarat Lornanthakul Napaporn Tananuvat Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Abstract To study the effects of pterygium on corneal topography and astigmatism and to determine the critical pterygium size which induces signifi cant astigmatism. Methods Thirty-three patients with unilateral primary pterygium were evaluated for pterygium morphology (22 women and 11 men with mean age of 56.2±10.9 years). An automated keratometer and an Orbscan II were used to evaluate corneal astigmatism, and the latter was also used to assess corneal topography. Results from the pterygium and contralateral eyes were compared. Results Mean corneal extension and width of the pterygia was 2.7±1.0 and 4.2±1.2 mm, respectively. With-the-rule astigmatism was the most common type (66.7%), followed by oblique (27.3%), and against-the-rule astigmatism (6.0%). The median (IQR) corneal astigmatism between the pterygium and contralateral eyes as measured by auto-keratometry and Orbscan II including auto-K, sim-K, K at the 3-mm and K at 5-mm zones were signifi cantly different [1.00(0.50-1.94) and 0.75(0.38- 1.07) (p =0.011), 1.2 (0.65-2.30) and 0.70 (0.35-1.05) (p<0.001),1.5 (0.95-2.5) and 0.80(0.50-1.35) (p<0.001), 1.7 (0.75-2.93) and 0.90 (0.40-1.25) (p<0.001),respectively. Pterygium induced astigmatism of ≥1 D when it extended ≥2.25 mm onto the cornea (sensitivity 76.2%, specifi city 66.7%). Conclusion Corneal extension is an important parameter in assessment of pterygium-induced astigmatism. Surgical intervention is recommended when the pterygium extends 2.25 mm or more onto the cornea. 2019-05-07T10:02:38Z 2019-05-07T10:02:38Z 2017 บทความวารสาร 0125-5983 https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/92739/72622 http://cmuir.cmu.ac.th/jspui/handle/6653943832/65050 Eng Faculty of Medicine, Chiang Mai University
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the biomedical sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec).
format บทความวารสาร
author Sudarat Lornanthakul
Napaporn Tananuvat
spellingShingle Sudarat Lornanthakul
Napaporn Tananuvat
Effect of pterygium on corneal topography and astigmatism
author_facet Sudarat Lornanthakul
Napaporn Tananuvat
author_sort Sudarat Lornanthakul
title Effect of pterygium on corneal topography and astigmatism
title_short Effect of pterygium on corneal topography and astigmatism
title_full Effect of pterygium on corneal topography and astigmatism
title_fullStr Effect of pterygium on corneal topography and astigmatism
title_full_unstemmed Effect of pterygium on corneal topography and astigmatism
title_sort effect of pterygium on corneal topography and astigmatism
publisher Faculty of Medicine, Chiang Mai University
publishDate 2019
url https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/92739/72622
http://cmuir.cmu.ac.th/jspui/handle/6653943832/65050
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