STEROID INDUCED GLAUCOMA: AN AVERTABLE IATROGENIC DISEASE

  • Choudhary, Dr Samiksha MS, Fellow (Glaucoma & IOL)1,
  • Sen, Dr Swarnali (MS, FSN)1
  • Dhillon, Dr Jasleen (MS, DNB)1
  • Sihota, Dr Ramanjit (MD, FRCS, FRCOphth)2
Haryana Journal of Ophthalmology XVI(1):p 22-26, Jan-Apr 2024.

Steroid induced IOP elevation can occur at all age groups. 5-6% of normal patients show marked increase in IOP after steroid therapy. 30% of Glaucoma suspects and 90% POAG might have a steroid induced ocular hypertensive response. IOP can be increased by any exogenous routes of application of steroids. The pressure-inducing effect of steroids is directly proportional to anti-inflammatory potency, dosage of the drug used duration of use. Discontinuation of the steroid is the first line of management. The judicious use of steroids is advocated to make sure we find the best drug, the best concentration, the best frequency, the best route of delivery. Thus, steroid induced glaucoma is a preventable disease.

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