PRESBYOND may be possible in ocular hypertension, but requires careful evaluation of future glaucoma risk and monitoring needs.
Points of caution
Laser changes how pressure is interpreted.
- Corneal thinning after laser can make IOP readings appear misleadingly low
- Pre‑existing pressure elevation reduces safety margins
- Ongoing monitoring is essential to detect early glaucoma
- Some pressure‑lowering drops aggravate dry eye, affecting visual quality
- Systemic and ocular risks must be balanced against elective surgery benefits
Favourable factors
Some ocular hypertension patients remain candidates.
- Healthy optic nerves and normal visual fields
- Pressures controlled with or without medication
- Good corneal thickness and shape aside from planned ablation
- Commitment to regular post‑operative pressure checks
- Joint decision between refractive and glaucoma clinicians
