Prevalence of ocular hypertension after corneal photorefractive surgery

Session Details

Session Title: Presented Poster Session: Refractive Surgery Complications

Session Date/Time: Monday 07/09/2015 | 09:30-11:00

Paper Time: 10:00

Venue: Poster Village: Pod 3

First Author: : E.AlAlawi BAHRAIN

Co Author(s): :    S. Papchan              

Abstract Details

Purpose:

To determine the prevalence of steroid induced ocular hypertension following corneal photorefractive surgery .

Setting:

The Eye Center in Bahrain

Methods:

Retrospective comparative case Series on 868 eyes of 434 Myopic patients undergone laser assisted keratomilieusis (LASIK), photorefractive keratectomy(PRK). The prevalence, onset, nature and duration of postoperative intraocular pressure (IOP) rise were analyzed. Intraocular pressure was measured with ocular response analyzer before and after the refractive surgery.

Results:

Ocular hypertension developed in 86 (9.90%) eyes of 434 patients. LASIK resulted in the least IOP rise (6/868) 0.69%. Mean IOP was 24 (mean IOP=24.5±3.0mmHg).). PRK showed in (80/868) 9.21% eyes, mean IOP was 24 (mean IOP=23±4.0mmHg) 1-3 weeks postoperatively. IOP recovered to normal in all eyes after discontinuation of topical steroids and initiation of anti-glaucoma medications. There was no correlation between the level of IOP rise and pre-operative refractive error, central corneal thickness and outcome with regards to the IOP

Conclusions:

Topical steroids may cause ocular hypertension following corneal refractive surgery . Early detection, treatment and close follow-up are recommended. We suggest measuring IOP in post operatively in all patients' undergone corneal refractive surgery no later than 5 to 14 days

Financial Interest:

NONE