USAEyes Lasik grant application.
 
How to Choose
A Lasik Doctor
Find Certified Surgeon
50 Tough Lasik Questions
 
Ask Lasik Expert
Lasik Q&A Forum
 
Lasik
Top Articles
What is Lasik?
Lasik Cost
Lasik Results
Wavefront Custom iLasik
Bladeless Lasik
Lasik Patient Survey
 
Lasik Alternative
Top Articles
Monovision Lasik
PRK, LASEK, Epi-Lasik
RLE Lens Exchange
 
Lasik Groupon
$1,500 Off Lasik
 
 

Image of Lasik doctors certification logo.

 
 
This website is accredited by Health On the Net Foundation. Click to verify.   The USAEyes.org website complies with the HONcode standard for trustworthy health information: verify here.
 
 

Glaucoma and Lasik

Causes and treatment of a central island after Lasik, Bladeless Lasik, PRK, LASEK, or Epi-Lasik.


Image of smiling woman.  
Glaucoma must be managed before Lasik laser eye surgery.  
   

Glaucoma is a condition in which the internal ocular pressure (IOP) of the eye is elevated, causing damage to the optic nerve. The most common type of glaucoma will show no symptoms until loss of vision has started, but can be diagnosed with a complete eye examination. Glaucoma can be treated with medicated eye drops, laser surgery, and/or conventional surgery.

Detection

Glaucoma is detected by the measurement of the eye pressure, visual examination of the optic nerve during a complete eye exam, and a visual field test to determine if loss of vision has started.

Causes of Glaucoma

Aqueous humor flows into and out of the anterior chamber of the eye to bathe and nourish the intraocular structures. When a patient has glaucoma, the fluid drains too slowly out of the anterior chamber. As the fluid builds up, the pressure inside the eye rises. If the eye pressure is not controlled, damage to the optic nerve may occur, which will lead to vision loss and eventually blindness if not treated.

Lasik Concerns

Glaucoma may be a problem if you are considering refractive surgery, but different types of refractive surgery are less problematic than others. Individuals with very highly IOP or predisposed to glaucoma may not be appropriate for conventional or custom wavefront Lasik, Bladeless Lasik, or Epi-Lasik, but may be appropriate for other types of refractive surgery like PRK, LASEK, P-IOL, or RLE. While glaucoma does not automatically exclude a person from many refractive surgery techniques, glaucoma should be treated and stabilized before considering refractive surgery.

Raised IOP

During Lasik, Bladeless Lasik, and Epi-Lasik surgery, a microkeratome is affixed to the eye with suction. This suction greatly increases the IOP of the eye for a brief time. The temporarily elevated IOP may negatively affect a patient with glaucoma or someone predisposed to glaucoma. PRK, LASEK, CK, P-IOL, and RLE do not require a microkeratome and do not dramatically raise the patient's IOP. These techniques may (emphasis on "may") be appropriate for consideration.

Risk Factors

About 3 million people in the United States have glaucoma. Some risk factors for glaucoma include a family history of glaucoma, ancestry of the Negro race, high blood pressure, diabetes, smoking, advanced age, the use of corticosteroids, and previous ocular trauma. If you have been previously diagnosed with glaucoma or are a member of a glaucoma risk group, be sure to discuss with your refractive surgeon any concerns you may have regarding refractive surgery and glaucoma.

Online Glaucoma Test

An FDA approved online glaucoma test is available that you can use from your own computer to determine if you have glaucoma. Visit Online Glaucoma Test

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

Personalized Answers

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Recent Glaucoma Medical Journal Articles...

Related Articles

Clinical applications of anterior segment optical coherence tomography.

J Ophthalmol. 2015;2015:605729

Authors: Lim SH

Abstract
Anterior segment optical coherence tomography (AS-OCT) was recently developed and has become a crucial tool in clinical practice. AS-OCT is a noncontact imaging device that provides the detailed structure of the anterior part of the eyes. In this review, the author will discuss the various clinical applications of AS-OCT, such as the normal findings, tear meniscus measurement, ocular surface disease (e.g., pterygium, pinguecula, and scleromalacia), architectural analysis after cataract surgery, post-LASIK keratectasia, Descemet's membrane detachment, evaluation of corneal graft after keratoplasty, corneal deposits (corneal dystrophies and corneal verticillata), keratitis, anterior segment tumors, and glaucoma evaluation (angle assessment, morphological analysis of the filtering bleb after trabeculectomy, or glaucoma drainage device implantation surgery). The author also presents some interesting cases demonstrated via AS-OCT.

PMID: 25821589 [PubMed]

 


Last updated

"Consider and Choose With Confidence"TM

A few of the communities where Lasik doctors are certified by USAEyes :