{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:18:13Z","timestamp":1787840293467,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>To present changes in transpalpebral intraocular pressure (tpIOP) in eyes after transepithelial photorefractive keratectomy (TPRK) in myopic Saudi patients and its determinants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This one-armed cohort included the myopic eyes of Saudi adolescents treated with TPRK in 2020\u20132021. The difference in tpIOP before surgery, 1 week after surgery, and 1 month after surgery using Diaton was the main outcome. Central corneal thickness (CCT), myopia grade, gender, age, and corneal epithelial thickness before surgery were independent factors. Matched-pair analysis was conducted. The determinants of tpIOP post-TPRK were studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Our cohort included 193 eyes of 97 participants (25.6 \u00b1 5.8 years). Mild, moderate, and severe myopia were present in 93, 79, and 21 eyes, respectively. tpIOP was 22 mmHg or more in 5 and 8 eyes at 1-week and 1-month follow-up, respectively. The change in tpIOP ranged from \u2212 7.00 to + 11.0 mmHg at 1 week and \u2212 8.0 to + 26.0 mmHg at 1 month. The median change of CCT at 1 month was 59 \u03bc. Change in tpIOP was not correlated with change in CCT at 1 month (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u22120.107, Pearson\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.14). Change of tpIOP was significantly correlated to spherical equivalent (SE) before surgery (matched-pair\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). SE (Mann\u2013Whitney U\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02) and tpIOP (Mann\u2013Whitney U\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02) before TPRK were significantly correlated to tpIOP &gt;22 mmHg after TPRK.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>The changes in tpIOP following refractive surgery correlate to the refractive status of the eye and tpIOP before surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_215_22","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T02:50:51Z","timestamp":1676947851000},"page":"82-87","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Transpalpebral intraocular pressure measured by Diaton tonometer before, 1 week, and 1 month after transepithelial photorefractive keratectomy in young myopic Saudi patients and its determinants"],"prefix":"10.4103","volume":"16","author":[{"given":"Sultan","family":"Alzuhairy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-17-20240908","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.survophthal.2005.02.006","article-title":"Considerations of glaucoma in patients undergoing corneal refractive surgery","volume":"50","author":"Bashford","year":"2005","journal-title":"Surv Ophthalmol"},{"key":"R2-17-20240908","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/S0161-6420(01)01023-5","article-title":"Steroid-induced glaucoma after laser in situ keratomileusis associated with interface 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