J Korean Ophthalmol Soc.  2011 Mar;52(3):308-314. 10.3341/jkos.2011.52.3.308.

Comparison of Measured Intraocular Pressure Change According to the Methods of Corneal Refractive Surgery

Affiliations
  • 1Department of Ophthalmology, The Catholic University of Korea School of Medicine, Seoul, Korea. jimoon@catholic.ac.kr
  • 2Apgujung St. Mary's Eye Center, Seoul, Korea.

Abstract

PURPOSE
To evaluate differences in intraocular pressure change after three different methods of corneal refractive surgery.
METHODS
The medical records of 296 eyes of 150 patients who underwent corneal refractive surgery were reviewed. Spherical equivalent, central corneal thickness (CCT), and intraocular pressure before surgery, and one month, three months and six months after surgery were analyzed.
RESULTS
The patients included those having undergone laser-assisted in situ keratomileusis (LASIK; 96 eyes), IntraLASIK (98 eyes), laser assisted sub-epithelial keratomileusis (LASEK; 102 eyes). Post operative intraocular pressure in ablated corneal depth and in CCT showed a meaningful correlation. Intraocular pressure decreased significantly after refractive surgery; however, there were no differences among the three groups.
CONCLUSIONS
Post operative intraocular pressure after corneal refractive surgery is influenced by CCT. There were no differences in intraocular pressure change among the three groups.

Keyword

Central corneal thickness; Intraocular pressure; Refractive surgery

MeSH Terms

Eye
Humans
Intraocular Pressure
Medical Records
Refractive Surgical Procedures

Figure

  • Figure 1. Plot of change in intraocular pressure to change in corneal ablation amount at post operative 3 months (R2 =0.112, p<0.05 regression analysis).

  • Figure 2. Pre and Post-op mean intraocular pressure in CCT 3 months after refractive surgery; CCT = central corneal thickness.


Cited by  1 articles

Analysis of Postoperative Intraocular Pressure Underestimation Measured with Non Contact Tonometry after Corneal Refractive Surgery
Wook Kyum Kim, Eun Young Cho, Hee Sun Kim, Hee Kyung Lee, Jin Kuk Kim
J Korean Ophthalmol Soc. 2014;55(2):167-172.    doi: 10.3341/jkos.2014.55.2.167.


Reference

References

1. Albert DM, Jokobiec FA. Principles and Practice of Ophthalmology. Philadelphia: WB Saunders Co.;1994. p. 1291.
2. Wolfs RC, Klaver CC, Vingerling JR, et al. Distribution of central corneal thickness and its association with intraocular pressure: The Rotterdam Study. Am J Ophthalmol. 1997; 123:767–72.
Article
3. Whitacre MM, Stein RA, Hassanein K. The effect of corneal thickness on applanation tonometry. Am J Ophthalmol. 1993; 115:592–6.
Article
4. Ehlers N, Bramsen T, Sperling S. Applanation tonometry and central corneal thickness. Acta Ophthalmol. 1975; 53:34–43.
Article
5. Dohadwala AA, Munger R, Damji KF. Positive correlation between Tono-Pen intraocular pressure and central corneal thickness. Ophthalmology. 1998; 105:1849–54.
Article
6. Mark HH. Corneal curvature in applanation tonometry. Am J Ophthalmol. 1973; 76:223–4.
Article
7. Trokel SL, Srinivasan R, Braren B. Excimer laser surgery of the cornea. Am J Ophthalmol. 1983; 96:710–5.
Article
8. Seiler T, Holschbach A, Derse M, et al. Complications of myopic photorefractive keratectomy with the excimer laser. Ophthalmology. 1994; 101:153–60.
Article
9. Gartry DS, Kerr Muir MG, Marshall J. Excimer laser photorefractive keratectomy: 18 months followup. Ophthalmology. 1992; 99:1209–19.
10. Seiler T, Wollensak J. Myopic photorefractive keratectomy with excimer laser: one-year followup. Ophthalmology. 1991; 98:1156–63.
11. Shields MB, Ritch R. Glaucoma, Intraocular Pressure and Tonometry. 2nd ed.St. Louis: Mosby;1996. p. 407–28.
12. Dimitrios SS, Georgios IP, Carlos M. Assessment of the Pascal dy-namic contour tonometer in monitoring intraocular pressure in un-operated eyes and eyes after LASIK. J Cataract Refract Surg. 2004; 30:746–51.
13. Bissen-Miyajima H, Suzuki S, Ohashi Y, Minami K. Experimental observation of intraocular pressure changes during microkeratome suctioning in laser in situ keratomileusis. J Cataract Refract Surg. 2005; 31:590–4.
Article
14. Suzuki CR, Farah ME. Retinal peripheral changes after laser in situ keratomileusis in patients with high myopia. Can J Ophthalmol. 2004; 39:69–73.
Article
15. Mirshahi A, Kohnen T. Effect of microkeratome suction during LASIK on ocular structures. Ophthalmology. 2005; 112:645–9.
Article
16. Hamilton DR, Manche EE, Rich LF, Maloney RK. Steroidinduced glaucoma after laser in situ keratomileusis associated with inter-face fluid. Ophthalmology. 2002; 109:659–65.
Article
17. Shaikh NM, Shaikh S, Singh K, Manche E. Progression to end-stage glaucoma after laser in situ keratomileusis. J Cataract Refract Surg. 2002; 28:356–9.
Article
18. Levy Y, Hefetz L, Zadok D, et al. Refractory intraocular pressure increase after photorefractive keratectomy. J Cataract Refract Surg. 1997; 23:593–4.
Article
19. Samuelson TW. Refractive surgery in glaucoma. Curr Opin Ophthalmol. 2004; 15:112–8.
Article
20. Chihara E. Assessment of true intraocular pressure: the gap between theory and practical data. Surv Ophthalmol. 2008; 53:203–18.
Article
21. Koh SI, Kim SD, Kim JD. The effect of the changes in central corneal thickness and curvature on measurement of intraocular pressure after LASIK. J Korean Ophthalmol Soc. 1999; 40:2464–72.
22. Wittenberg S, Green MK. The effect of tears in intraocular pressure as measured with the NCT. Invest Ophthalmol. 1976; 15:139–42.
23. Kwon GR, Kang SW, Kee C. The influence of central corneal thickness on intraocular pressures measured with Goldmann applanation tonometer and non-contact tonometer. J Korean Ophthalmol Soc. 1998; 39:1494–8.
24. Schipper I, Senn P, Thomas U, Suppinger M. Intraocular pressure after excimer laser photorefractive keratectomy for myopia. J Refract Corneal Surg. 1995; 11:366–70.
Article
25. Zadok D, Tran DB, Twa M, et al. Pneumotonometry versus Goldmann tonometry after laser in situ keratomileusis for myopia. J Cataract Refract Surg. 1999; 25:1344–8.
26. Qazi MA, Sanderson JP, Mahmoud AM, et al. Postoperative changes in intraocular pressure and corneal biomechanical met-rics: Laser in situ keratomileusis versus laser-assisted subepithelial keratectomy. J Cataract Refract Surg. 2009; 35:1774–88.
27. Kirwan C, O'Keefe M. Measurement of intraocular pressure in LASIK and LASEK patients using the Reichert Ocular Response Analyzer and Goldmann applanation tonometry. J Refract Surg. 2008; 24:366–70.
Article
28. Sánchez-Navés J, Furfaro L, Piro O, Balle S. Impact and perma-nence of LASIK-induced structural changes in the cornea on pneu-motonometric measurements: contributions of flap cutting and stromal ablation. J Glaucoma. 2008; 17:611–8.
Article
29. Samuelson TW. Refractive surgery in glaucoma. Curr Opin Ophthalmol. 2004; 15:112–8.
Article
30. Cronemberger S, Guimarães CS, Calixto N, Calixto JM. Intraocular pressure and ocular rigidity after LASIK. Arq Bras Oftalmol. 2009; 72:439–43.
Article
31. Roy AS, Dupps WJ Jr. Effects of altered corneal stiffness on native and postoperative LASIK corneal biomechanical Behavior: a whole-eye Finite Element Analysis. J Refract Surg. 2009; 25:875–87.
Article
32. Kohli PG, Randhawa BK, Singh KD, et al. Relation between central corneal thickness and intraocular pressure in Punjabi population. J Med Eng Technol. 2010; 34:1–6.
Article
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr