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Mixed astigmatism

MedGen UID:
757799
•Concept ID:
C3266021
•
Disease or Syndrome
Synonyms: Astigmatism, Mixed; Mixed Astigmatism; Mixed Astigmatisms
SNOMED CT: Mixed astigmatism (449725006)
 
HPO: HP:0031790

Definition

A type of astigmatism in which an unequal curvature of the cornea and some cases additionally of the lens causes one meridian of the eye to be hyperopic (farsighted) and a second meridian that is perpendicular to the first to be myopic (nearsighted). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMixed astigmatism

Conditions with this feature

Retinitis pigmentosa 75
MedGen UID:
934726
•Concept ID:
C4310759
•
Disease or Syndrome
Any retinitis pigmentosa in which the cause of the disease is a mutation in the AGBL5 gene.
See: Condition Record
Retinitis pigmentosa 75

Professional guidelines

PubMed

Feasibility study of treatment of mixed astigmatism with small-incision lenticule extraction (SMILE) by using research software.
Ganesh S, Brar S, Bose S, Shah ML
Indian J Ophthalmol 2024 Jul 1;72(7):1056-1063. Epub 2024 Jun 22 doi: 10.4103/IJO.IJO_1273_23. PMID: 38905464Free PMC Article
Factors Predicting the Need for Re-treatment After Laser Refractive Surgery in Patients With Mixed Astigmatism.
Sorkin N, Kaiserman I, Kayal M, Levinger E, Mashour RS, Sela T, Munzer G, Mimouni M
J Refract Surg 2024 Feb;40(2):e73-e78. Epub 2024 Feb 1 doi: 10.3928/1081597X-20231212-06. PMID: 38346124
Vector analysis of astigmatism before and after LASIK: a comparison of two different platforms for treatment of high astigmatism.
Biscevic A, Bohac M, Koncarevic M, Anticic M, Dekaris I, Patel S
Graefes Arch Clin Exp Ophthalmol 2015 Dec;253(12):2325-33. Epub 2015 Sep 24 doi: 10.1007/s00417-015-3177-x. PMID: 26400154

Recent clinical studies

Etiology

Evaluation of the efficiency and safety of TransPRK and FS-LASIK refractive procedures on patients with astigmatism and amblyopia.
Sima G, Tătaru CI, Munteanu M
Rom J Ophthalmol 2023 Jul-Sep;67(3):267-274. doi: 10.22336/rjo.2023.44. PMID: 37876510Free PMC Article
Symmetric offset versus asymmetric offset ablation with transepithelial refractive keratectomy.
de Ortueta D, von Rüden D, Arba Mosquera S
BMC Ophthalmol 2023 May 17;23(1):219. doi: 10.1186/s12886-023-02971-9. PMID: 37198622Free PMC Article
A comparison of cycloplegic autorefraction and retinoscopy in Indian children.
Guha S, Shah S, Shah K, Hurakadli P, Majee D, Gandhi S
Clin Exp Optom 2017 Jan;100(1):73-78. Epub 2016 Jul 17 doi: 10.1111/cxo.12375. PMID: 27426488
Treatment of mixed astigmatism: early clinical outcomes withWaveLight and Technolas excimer lasers.
Kilavuzoğlu AE, Gönen T, Çelebi AR, Coşar Yurteri CB, Şener AB
Turk J Med Sci 2016 Apr 19;46(3):664-72. doi: 10.3906/sag-1504-35. PMID: 27513239
Anisometropic amblyopia.
Kutschke PJ, Scott WE, Keech RV
Ophthalmology 1991 Feb;98(2):258-63. doi: 10.1016/s0161-6420(91)32307-8. PMID: 2008287

Diagnosis

Ophthalmic manifestations in children with Down Syndrome in Bogotá, Colombia.
Rojas-Carabali W, Cortés-Albornoz MC, Flórez-Esparza G, Cifuentes-González C, de-la-Torre A, Talero-Gutiérrez C
BMC Ophthalmol 2023 May 15;23(1):216. doi: 10.1186/s12886-023-02863-y. PMID: 37189079Free PMC Article
How much astigmatism to treat in cataract surgery.
Sigireddi RR, Weikert MP
Curr Opin Ophthalmol 2020 Jan;31(1):10-14. doi: 10.1097/ICU.0000000000000627. PMID: 31770161
The correlation between headache and refractive errors.
Akinci A, Güven A, Degerliyurt A, Kibar E, Mutlu M, Citirik M
J AAPOS 2008 Jun;12(3):290-3. Epub 2008 Mar 10 doi: 10.1016/j.jaapos.2007.11.018. PMID: 18329921
Is all asthenopia the same?
Sheedy JE, Hayes JN, Engle J
Optom Vis Sci 2003 Nov;80(11):732-9. doi: 10.1097/00006324-200311000-00008. PMID: 14627938
Mixed astigmatism: theory and technique.
Vinciguerra P, Camesasca FI
Int Ophthalmol Clin 2002 Fall;42(4):31-40. doi: 10.1097/00004397-200210000-00005. PMID: 12409920

Therapy

Evaluation of the efficiency and safety of TransPRK and FS-LASIK refractive procedures on patients with astigmatism and amblyopia.
Sima G, Tătaru CI, Munteanu M
Rom J Ophthalmol 2023 Jul-Sep;67(3):267-274. doi: 10.22336/rjo.2023.44. PMID: 37876510Free PMC Article
Symmetric offset versus asymmetric offset ablation with transepithelial refractive keratectomy.
de Ortueta D, von Rüden D, Arba Mosquera S
BMC Ophthalmol 2023 May 17;23(1):219. doi: 10.1186/s12886-023-02971-9. PMID: 37198622Free PMC Article
A comparison of cycloplegic autorefraction and retinoscopy in Indian children.
Guha S, Shah S, Shah K, Hurakadli P, Majee D, Gandhi S
Clin Exp Optom 2017 Jan;100(1):73-78. Epub 2016 Jul 17 doi: 10.1111/cxo.12375. PMID: 27426488
Excimer laser correction of hyperopia, hyperopic and mixed astigmatism: past, present, and future.
Lukenda A, Martinović ZK, Kalauz M
Acta Clin Croat 2012 Jun;51(2):299-304. PMID: 23115960
Limbal relaxing incisions for primary mixed astigmatism and mixed astigmatism after cataract surgery.
Bayramlar H, Dağlioğlu MC, Borazan M
J Cataract Refract Surg 2003 Apr;29(4):723-8. doi: 10.1016/s0886-3350(02)01821-7. PMID: 12686239

Prognosis

Factors Predicting the Need for Re-treatment After Laser Refractive Surgery in Patients With Mixed Astigmatism.
Sorkin N, Kaiserman I, Kayal M, Levinger E, Mashour RS, Sela T, Munzer G, Mimouni M
J Refract Surg 2024 Feb;40(2):e73-e78. Epub 2024 Feb 1 doi: 10.3928/1081597X-20231212-06. PMID: 38346124
Treatment of mixed astigmatism: early clinical outcomes withWaveLight and Technolas excimer lasers.
Kilavuzoğlu AE, Gönen T, Çelebi AR, Coşar Yurteri CB, Şener AB
Turk J Med Sci 2016 Apr 19;46(3):664-72. doi: 10.3906/sag-1504-35. PMID: 27513239
Excimer laser correction of hyperopia, hyperopic and mixed astigmatism: past, present, and future.
Lukenda A, Martinović ZK, Kalauz M
Acta Clin Croat 2012 Jun;51(2):299-304. PMID: 23115960
Limbal relaxing incisions for primary mixed astigmatism and mixed astigmatism after cataract surgery.
Bayramlar H, Dağlioğlu MC, Borazan M
J Cataract Refract Surg 2003 Apr;29(4):723-8. doi: 10.1016/s0886-3350(02)01821-7. PMID: 12686239
Anisometropic amblyopia.
Kutschke PJ, Scott WE, Keech RV
Ophthalmology 1991 Feb;98(2):258-63. doi: 10.1016/s0161-6420(91)32307-8. PMID: 2008287

Clinical prediction guides

Factors Predicting the Need for Re-treatment After Laser Refractive Surgery in Patients With Mixed Astigmatism.
Sorkin N, Kaiserman I, Kayal M, Levinger E, Mashour RS, Sela T, Munzer G, Mimouni M
J Refract Surg 2024 Feb;40(2):e73-e78. Epub 2024 Feb 1 doi: 10.3928/1081597X-20231212-06. PMID: 38346124
Clinical outcomes of stromal lenticule rotation to correct mixed astigmatism.
Sun X, Shen D, Jiang H, Wang Y, Wang R, Wei W
Eur J Ophthalmol 2024 Mar;34(2):574-582. Epub 2023 Dec 15 doi: 10.1177/11206721231221165. PMID: 38099818
Three-year outcomes of mixed astigmatism correction with single-step transepithelial photorefractive keratectomy with a large ablation zone.
Kaluzny BJ, Verma S, Piotrowiak-Słupska I, Kaszuba-Modrzejewska M, Rzeszewska-Zamiara J, Stachura J, Arba-Mosquera S
J Cataract Refract Surg 2021 Apr 1;47(4):450-458. doi: 10.1097/j.jcrs.0000000000000476. PMID: 33252566
Excimer laser correction of hyperopia, hyperopic and mixed astigmatism: past, present, and future.
Lukenda A, Martinović ZK, Kalauz M
Acta Clin Croat 2012 Jun;51(2):299-304. PMID: 23115960
Laser in situ keratomileusis for primary and secondary mixed astigmatism.
Jin GJ, Merkley KH, Lyle WA
Am J Ophthalmol 2005 Jun;139(6):1019-27. doi: 10.1016/j.ajo.2005.01.048. PMID: 15953431

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