Surgically induced astigmatism following trabeculectomy

Gyu Ah Kim, Si Hyung Lee, Sang Yeop Lee, Hee Jung Kwon, Hyoung Won Bae, Gong Je Seong, Chan Yun Kim

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Purpose: Surgically induced astigmatism (SIA) has attracted much interest in recent times because changes in corneal astigmatism can lead to decreased uncorrected visual acuity and patient discomfort. This study aimed to evaluate SIA and to identify factors correlated therewith after trabeculectomy. Methods: We retrospectively reviewed medical charts of patients who were treated with trabeculectomy at 120° meridian (superotemporal area on right eye and superonasal area on left eye) by the same surgeon. Preoperative keratometric data were compared with data collected from 2 months to 12 months postoperatively. SIA was evaluated using Naeser's polar value analysis. Results: Using Naeser's method, ΔKP(120) was calculated as 0.7 ± 0.7 (0.82@104°), which indicates a with-the-rule change. After surgery, the combined mean polar values changed significantly (Hotelling T 2 = 22.47; p < 0.001). Multivariate analysis of variance indicated that postoperative intraocular pressure and location of surgery were independent factors that were significantly associated with SIA (p = 0.002 and 0.03, respectively). Conclusions: Trabeculectomy at the 120° meridian was not astigmatically neutral. In addition, the SIA after trabeculectomy appears to be greater in eyes with low postoperative intraocular pressure and a superonasal surgical wound rather than a superotemporal wound.

Original languageEnglish
Pages (from-to)1265-1270
Number of pages6
JournalEye (Basingstoke)
Issue number7
Publication statusPublished - 2018 Jul 1

Bibliographical note

Publisher Copyright:
© 2018 The Royal College of Ophthalmologists.

All Science Journal Classification (ASJC) codes

  • Ophthalmology
  • Sensory Systems


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