Patients with high myopia are at high risk of glaucoma and are difficult to be discovered at early stage in the case of existing glaucoma. Myopic excimer laser corneal refractive surgery changes the structure of the eye, which makes early glaucoma diagnosis more difficult. Furthermore, refractive surgery may aggravate existing condition of glaucoma. To prevent the exacerbation of glaucoma, it is great important to perform the preoperative glaucoma risk assessment. In this paper, we presented the key diagnostic points of glaucoma assessment before and after excimer laser refractive surgery and discussed the postoperative intraocular pressure measurements and its impact on the diagnosis and treatment of glaucoma including characterization of open angle glaucoma and long-term follow up in patients with high myopia.