title: [Post-laser in situ keratomileusis refractive changes induced by glaucoma in the absence of keratectasia].
abstract: METHODS
  We report the case of a 34 year-old man with progressive loss of visual acuity in his left eye, who was diagnosed with pigmentary glaucoma with an intraocular pressure of 32mmHg. Eight years previously, the patient had undergone refractive surgery (LASIK). Hypotensive treatment led to a significant refractive change accompanied by flattening of the corneal curvature.
  
  
  CONCLUSIONS
  We propose that a high intraocular pressure acting on a cornea weakened by refractive surgery can provoke corneal steepening, inducing refractive changes even in the absence of keratectasia.
authors.affiliation: Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Martínez-de-la-Casa
authors.affiliation: Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España. Electronic address: ignaciorodriguezu@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Rodríguez-Uña
authors.affiliation: Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: González-Pastor
authors.affiliation: Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España.
authors.forename: D
authors.initials: D
authors.lastname: Díaz-Valle
authors.affiliation: Servicio de Oftalmología, Hospital Clínico San Carlos, Madrid, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos, Instituto de Investigaciones Oftalmológicas Ramón Castroviejo, Universidad Complutense, Madrid, España.
authors.forename: J
authors.initials: J
authors.lastname: García-Feijóo
mesh_terms: D000328:Adult; D005901:Glaucoma / Q000150:complications*; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008297:Male; D011183:Postoperative Complications; D012030:Refractive Errors / Q000209:etiology*
keywords: Cambio miópico; Corneal ectasia; Ectasia corneal; Glaucoma; Intraocular pressure; LASIK; Myopic shift; Presión intraocular