advertisement
Abstract #21261 Published in IGR 10-2
Keratorefractive surgery and glaucoma
Zou X; Duan X-C; Xia N; Wang M-P; Shen JInternational Journal of Ophthalmology 2008; 8: 240-244
Keratorefractive surgery changes the central corneal thickness (CCT) and corneal curvature, which could influence the Goldmann applanation tonometer (GAT) and non-contact tonometer (NCT) measurements of intraocular pressure (IOP), but not dynamic contour tonometer(DCT). During the procedure of LASIK, there is a transient rise of IOP, which increases the risks of optic nerve damage. Meanwhile, the presence of functioning filtering blebs may affect the choice and outcome of refractive surgery, or even becomes a contraindication of surgery. Steroids are typically used after keratorefractive surgery, which could lead to IOP elevation, Hence It is important to monitor IOP after LASIK and to be aware of inaccurate IOP readings due to corneal flap interface fluid. Treating patients with postoperative elevated IOP after keratorefractive surgery is similar to that for patients with glaucoma, This review will address the issues surrounding the safety, relevant complications and implications of keratorefractive surgeries on glaucoma and relevant diagnostic tests.
Dr. X.-C. Duan, Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011 Hunan Province, China. duanxchu@yahoo.com.cn
Classification:
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)
