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Meticulous medical history, preop IOP measurements key to glaucoma management after refractive surgery
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 Stephan Kaminski |
VIENNA, Austria — With glaucoma difficult to predict and refractive surgery patients often young in age, careful medical history evaluation and IOP baseline measurements are important to later disease management in refractive surgery patients, a speaker said here.
Stephan Kaminski, MD, spoke at Glaucoma Day preceding the European Society of Cataract and Refractive Surgeons meeting about factors for consideration about refractive surgery and glaucoma.
"[Refractive surgery] is usually performed on young adults in their mid-20s to mid-50s," he said. "What we have to consider is that the prevalence of glaucoma increases as patients become older. If we look at the literature, we have about 2% in those around 40 years, and it's increasing up to over 10% in patients that are over 75 years."
Glaucoma risk factors are among the important issues to consider preoperatively for later potential disease care, he said. Refractive surgery affects Goldmann applanation tonometry measurements, among other issues.
"The take-home message is that detection of high IOP after keratorefractive procedures is not easy," he said.
- Disclosure: Dr. Kaminski has no relevant financial disclosures.