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Abstract #73041 Published in IGR 18-4
The Effect of Corneal Refractive Surgery on Glaucoma
Kozobolis V; Konstantinidis A; Sideroudi H; Labiris GJournal of Ophthalmology 2017; 2017: 8914623
Laser-assisted refractive procedures have become very popular in the last two decades. As a result, a "generation" of patients with altered corneal properties is emerging. These patients will require both cataract extraction and glaucoma follow-up in the future. Since the glaucoma examination largely depends on the corneal properties, the reshaped postrefractive surgery cornea poses a challenge in the diagnosis, follow-up, and management of the glaucomatous patient. In order to overcome this problem, every patient who is planned to undergo corneal refractive surgery must have a thorough glaucoma examination in order for the ophthalmologist to be able to monitor their patients for possible glaucoma development and/or progression. Some examinations such as tonometry are largely affected by the corneal properties, while others such as the evaluation of the structures of the posterior pole remain unaffected. However, the new imaging modalities of the anterior segment in combination with the most recent advances in tonometry can accurately assess the risk for glaucoma and the need for treatment.
University Eye Clinic, University Hospital of Alexandroupolis, 68131 Alexandroupolis, Greece.
Full articleClassification:
8.4 Refractive surgical procedures (Part of: 8 Refractive errors in relation to glaucoma)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)
