Progressive Paracentral Visual Field Loss at Low Intraocular Pressures Following LASIK.
Humans
Keratomileusis, Laser In Situ
/ adverse effects
Intraocular Pressure
/ physiology
Visual Fields
/ physiology
Myopia
/ surgery
Male
Female
Adult
Disease Progression
Tonometry, Ocular
Cornea
/ physiopathology
Vision Disorders
/ physiopathology
Visual Field Tests
Middle Aged
Visual Acuity
/ physiology
Risk Factors
Lasers, Excimer
/ therapeutic use
Young Adult
Journal
Journal of glaucoma
ISSN: 1536-481X
Titre abrégé: J Glaucoma
Pays: United States
ID NLM: 9300903
Informations de publication
Date de publication:
01 Aug 2024
01 Aug 2024
Historique:
received:
06
11
2023
accepted:
03
03
2024
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
14
8
2024
Statut:
ppublish
Résumé
Intraocular pressure is currently the only known reliable, modifiable risk factor for the development and progression of glaucoma. Other risk factors for glaucoma include increasing age, myopia, decreased central corneal thickness, and low corneal hysteresis (CH) measurements. Photoablative keratorefractive surgery including laser assisted in situ keratomileusis (LASIK) has become a common way to treat refractive error, with over 25 million procedures performed in the United States alone. Though myopic LASIK has been associated with a decrease in CH measurements, relatively little is known about the risk of LASIK on glaucoma onset and progression. Here we present an observational study of 4 consecutive relatively young and otherwise healthy glaucoma patients with a history of myopic LASIK who showed progression of paracentral visual field deficits at intraocular pressures of 12 mm Hg or less while being carefully monitored. Therefore, these patients required lower targets of intraocular pressure, in the single-digit range, to slow or halt progression. In this cohort, the average corneal hysteresis was more than 2 standard deviations below normal values. This series suggests that additional study into the association of LASIK and glaucoma is warranted, including the potential risk contribution of diminished CH. These studies may be particularly relevant as patients who underwent LASIK procedures in the early 2000s may now be at increased risk of glaucoma due to the risk factor of age.
Identifiants
pubmed: 39141409
doi: 10.1097/IJG.0000000000002395
pii: 00061198-202408000-00014
doi:
Types de publication
Journal Article
Observational Study
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
e64-e75Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
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