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The prevalence of glaucoma in myopic patients is about two to three times than in general population, in which the prevalence of glaucoma is about 1%-2%. Millions of patients have been performed excimer laser refractive surgery for their refractive error. Thus, tens of thousands of the patients who received the refractive surgery will suffer from glaucoma in the next two decades. Some studies have found intraocular pressure (IOP) in patients with refractive surgery is lower, most likely due to the reduced central corneal thickness and intralamellar cyst syndrome. The use of steroid after the refractive surgery can increase IOP in the steroid responders. Therefore, the refractive surgeons should pay more attention to patient follow-up and surveillance of IOP.
Dr. X.M. Yan, Department of Ophthalmology, Peking University First Hospital, Beijing, China. yanxiaom@sohu.com
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)