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Considerations for Glaucoma Evaluation and Management in Refractive Surgery Candidates
Kasem Seresirikachorn1,2,3, Angela Y Zhu1, Ta Chen Chang1
1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|January 5, 2026
Summary
Refractive surgery requires careful glaucoma evaluation and monitoring. This review guides surgeons on assessing and managing glaucoma risks before, during, and after various refractive procedures.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Glaucoma Management
Background:
- Refractive surgery popularity is rising, but its impact on glaucoma assessment is not fully understood.
- Different refractive surgery techniques require tailored glaucoma monitoring strategies.
- Advanced technology aids in detecting and monitoring glaucoma in patients undergoing refractive surgery.
Purpose of the Study:
- To provide comprehensive guidance on glaucoma risk assessment and monitoring for refractive surgery patients.
- To enhance surgeon confidence in managing glaucoma suspects or patients undergoing refractive surgery.
- To highlight key considerations from preoperative to postoperative stages.
Main Methods:
- Review of current literature and evidence on refractive surgery and glaucoma.
- Analysis of different refractive surgery types and their implications for glaucoma.
- Discussion of advanced technologies for glaucoma detection and monitoring.
Main Results:
- Glaucoma risk assessment and monitoring protocols vary based on refractive surgery type.
- Precise intraocular pressure measurement is crucial, necessitating appropriate tonometer selection.
- Vigilant monitoring is essential for high-risk glaucoma cases.
Conclusions:
- A comprehensive glaucoma risk assessment is fundamental for all refractive surgery candidates.
- Tailored monitoring plans and appropriate instrumentation are vital for managing glaucoma in refractive surgery patients.
- Updated evidence supports specific recommendations for optimizing glaucoma care in this population.
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