Intraocular pressure assessment after laser in situ keratomileusis: a review

Clin Exp Ophthalmol. 2012 Apr;40(3):295-304. doi: 10.1111/j.1442-9071.2011.02641.x. Epub 2011 Sep 2.

Abstract

This paper aims to review the current methods available for the measurement of intraocular pressure after myopic laser in situ keratomileusis for the correction of myopia. Searches were performed for studies that assessed or compared various methods of intraocular pressure assessment. There were 20 eligible studies that explored the use of pneumotonometry, pressure phosphene tonometry, rebound tonometry, dynamic contour tonometry, statistical modeling, mathematical formulae, ocular response analyzer and even measuring intraocular pressure on the nasal cornea. Our review shows that an ideal method would be one that is independent of corneal factors. Dynamic contour tonometry and pressure phosphene tonometry held promise in research settings. More studies need to be done to validate the new methods of intraocular pressure assessment, especially in glaucoma patients. It is important to empower laser in situ keratomileusis patients with knowledge of these difficulties and potential implications for the future.

Publication types

  • Review

MeSH terms

  • Glaucoma, Open-Angle / diagnosis*
  • Glaucoma, Open-Angle / physiopathology
  • Humans
  • Intraocular Pressure / physiology*
  • Keratomileusis, Laser In Situ*
  • Lasers, Excimer*
  • Myopia / physiopathology
  • Myopia / surgery*
  • Prospective Studies
  • Retrospective Studies
  • Risk Factors
  • Tonometry, Ocular / instrumentation
  • Tonometry, Ocular / methods*