Refractive surgery and the glaucoma patient
| Autor: | Anurag Shrivastava, Assumpta Madu, Jeffrey S. Schultz |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Intraocular pressure
genetic structures medicine.medical_treatment Ocular hypertension Glaucoma Keratomileusis Tonometry Ocular Optics Risk Factors Refractive surgery Optic Nerve Diseases Preoperative Care Medicine Humans Contraindication Intraocular Pressure business.industry Reproducibility of Results General Medicine Perioperative medicine.disease eye diseases Photorefractive keratectomy Refractive Surgical Procedures Ophthalmology Optometry sense organs business |
| Zdroj: | Current opinion in ophthalmology. 22(4) |
| ISSN: | 1531-7021 |
| Popis: | Purpose of review Patients considering corneal refractive surgery undergo extensive preoperative testing, but current protocols may not address the management of glaucoma appropriately. This review outlines the current body of literature on the diagnostic and management challenges that exist in the treatment of glaucoma patients undergoing laser ablative surgery, and makes recommendations to improve current perioperative protocols. Recent findings As permanent structural alterations to the cornea after laser-assisted in-situ keratomileusis surgery make Goldmann applanation tonometry inaccurate, the advent of new diagnostic modalities and recommendations to accurately measure postoperative intraocular pressure (IOP) and subtle damage to the optic nerve have been further analyzed and tested. Summary As IOP is the only modifiable risk factor in the treatment of glaucoma to date, traditional diagnostic and treatment algorithms may not be appropriate for refractive surgery patients. Glaucoma remains a relative contraindication to refractive procedures, but as new diagnostic modalities emerge, our ability to diagnose and manage these patients may improve. More uniform recommendations need to be implemented to improve our long-term management of these patients. |
| Databáze: | OpenAIRE |
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