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Journal of Ophthalmology
Volume 2017 (2017), Article ID 8914623, 8 pages
https://doi.org/10.1155/2017/8914623
Review Article

The Effect of Corneal Refractive Surgery on Glaucoma

University Eye Clinic, University Hospital of Alexandroupolis, 68131 Alexandroupolis, Greece

Correspondence should be addressed to Vassilios Kozobolis; rg.htud.dem@opmozokv

Received 12 November 2016; Accepted 9 March 2017; Published 9 April 2017

Academic Editor: Antonio M. Fea

Copyright © 2017 Vassilios Kozobolis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.