REFRACTIVE SURGERY: Edited by Jimmy K. LeePreoperative, intraoperative, and postoperative assessment of corneal biomechanics in refractive surgeryDackowski, Evan K.a; Lopath, Patrick D.b; Chuck, Roy S.aAuthor Information aMontefiore Medical Center, Albert Einstein College of Medicine bTECLens, LLC, New York, USA Correspondence to Roy S. Chuck, Montefiore Medical Center/Albert Einstein College of Medicine, 3332 Rochambeau Avenue, 3rd Floor Bronx, NY 10467, USA. Tel: +1 718 920 6665; e-mail: email@example.com Current Opinion in Ophthalmology: July 2020 - Volume 31 - Issue 4 - p 234-240 doi: 10.1097/ICU.0000000000000663 Buy Metrics Abstract Purpose of review To review current and emerging methods and utilities of preoperative, intraoperative, and postoperative measurements of corneal biomechanics and their effects on refractive surgery decision-making. Recent findings Several recent clinical and preclinical studies have demonstrated the utility of corneal biomechanical analysis in refractive surgery. These studies focus on both screening surgical candidates for keratoconic disease as well as intraoperative and postoperative monitoring. The measurement of spatially resolved biomechanics is beginning to be studied in humans. Summary Clinically available screening methods combining corneal biomechanics with topographic and tomographic data provide increased utility when screening for keratoconic disorder. Spatially resolved measurement of corneal biomechanics holds great potential for preoperative, intraoperative, and postoperative evaluation of refractive surgery candidates as well as for more individualized procedures in the future. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.