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Prevalence of corneal astigmatism in cataract surgery candidates at a public hospital in Brazil

Prevalência de astigmatismo corneano em candidatos a facectomia em hospital público no Brasil

ABSTRACT

Purpose:

To assess the frequency of corneal astigmatism before cataract surgery in a Brazilian sample.

Methods:

This clinic-based cross-sectional study was conducted at the Bonsucesso Federal Hospital, Rio de Janeiro, Brazil. Charts of patients who underwent cataract surgery over a two-year period were retrospectively reviewed, and preoperative keratometric measurements were collected and analyzed.

Results:

A total of 1707 eyes of 1045 patients were enrolled. The corneal astigmatism was less than 1.0 D in 971 eyes (56.9%), 1.0-1.99 D in 496 eyes (29.1%), 2.0-2.99 D in 157 eyes (9.2%), and more than 3.0 D in 83 eyes (4.9%). The mean corneal astigmatism was 0.92 ± (SD) 0.96 D (range 0 - 10.25 D).

Conclusion:

Over 40% of the patients undergoing cataract surgery enrolled in this study had more than 1.0 D of corneal astigmatism and may benefit from the use of toric intraocular lenses. These data can be useful for planning to make this technology available for patients.

Keywords:
Astigmatism/epidemiology; Cataract extraction/adverse effects; Lenses, intraocular; Cross-sectional study; Brazil

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