目的探讨准分子激光角膜切削术（ＰＲＫ）后伴发皮质类固醇性高眼压或青光眼的临床意义。方法ＰＲＫ治疗近视１０９８眼，术后使用氟美龙（ＦＭＬ）点眼４～６个月，防止术后并发症发生。结果使用ＦＭＬ而诱致激素性高眼压或青光眼共３５例６７眼，发生率为６．１％。结论为减少该病发生：①术前详细检查，询问有无青光眼家族史；②术后注意眼压变化；③改进手术方式 Objective To investigate the clinical significance of corticosteroid-induced ocular hypertension or glaucoma after excimer laser keratectomy (PRK). Methods PRK was used to treat 1098 myopia patients, and the patients were treated with fluorometholone (FML) for 4 to 6 months after operation to prevent postoperative complications. Results The use of FML induced a high level of intraocular pressure or glaucoma in 35 cases 67 eyes, the incidence was 6.1%. Conclusion To reduce the occurrence of the disease: ① preoperative detailed examination, asked whether there is a family history of glaucoma; ② postoperative attention to changes in intraocular pressure; ③ improve the surgical approach