Abstract

The global prevalence of refractive surgery for myopia has increased substantially; however, definitive guidance regarding its effects on glaucoma assessment and progression remains limited. Although advances in technology and diagnostic instruments have improved the detection and monitoring of glaucoma in patients undergoing refractive surgery, concerns persist regarding postoperative intraocular pressure (IOP) elevation and the inaccuracy of IOP measurements associated with reduced central corneal thickness. Myopia is a well-established risk factor for primary open-angle glaucoma, and this risk may be further increased by various intraoperative and postoperative factors related to refractive surgery. Therefore, thorough preoperative glaucoma screening, along with systematic postoperative follow-up and evaluation, is essential. This review delineates key considerations before refractive surgery and summarizes important clinical issues in eyes that have undergone refractive procedures. Furthermore, it outlines the pathogenesis, mechanisms, and management strategies for postoperative IOP elevation.

• Keywords: Myopia; Glaucoma; Intraocular pressure; Refractive surgery