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Steroid Responder and Lasik SurgerySteroid Responder and Lasik SurgeryFalse Intraocular Pressure readings may pose a risk of delaying the diagnosis of future glaucoma in patients who undergo refractive surgery such as Lasik surgery. The inability to recognize glaucoma early may result in irreversible vision loss in patients who are glaucoma suspects and those who are steroid responders. Patients with ocular hypertension with falsely low IOP may not be subjected to the same degree of glaucoma suspicion and testing as they otherwise would have received. A constant correction is essential to be incorporated in order to calculate the true intra-ocular pressure especially in patients who have high myopia and who have also recently undergone refractive corneal surgery. Nomogram adjustment can also be performed in these patients. If the patient has ocular hypertension, then baseline glaucoma workup should also be performed. Several reports have shown that Goldmann applanation tonometry overestimates IOP in patients with thicker corneas and underestimates it in those with thinner corneas. Therefore correction factors may be required to be induced due to other reasons also.
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