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Intraocular pressure elevation in a child due to the use of inhalation steroids--a case report

M Desnoeck1, I Casteels, K Casteels

  • 1Dept. of Ophthalmology, University Hospitals Leuven, Capucijnenvoer 33, B-3000 Leuven.

Bulletin De La Societe Belge D'Ophtalmologie
|August 7, 2001
PubMed

Insights

Inhaled and nasal steroids can lead to ocular hypertension and glaucoma. Regular eye pressure monitoring is crucial for children using these steroid therapies, especially if they experience headaches.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Pharmacology

Background:

  • Inhaled corticosteroids (ICS) are widely used for managing respiratory conditions like asthma.
  • Nasal steroid sprays are common treatments for allergic rhinitis.
  • Prolonged use of steroids can have systemic and localized side effects.

Observation:

  • A case study involving a young girl presented with elevated intraocular pressure (IOP) and headaches.
  • The patient had a history of prolonged administration of nasal and inhalation steroids.
  • Symptoms suggested a link between steroid use and increased IOP.

Findings:

  • Inhalation steroid therapy is associated with the development of ocular hypertension and open-angle glaucoma.
  • The patient's symptoms resolved upon discontinuation of steroid therapy.
  • This highlights a potential iatrogenic cause of increased IOP in pediatric patients.

Implications:

  • Ophthalmologists must regularly monitor intraocular pressure in patients using inhaled or nasal steroids.
  • Physicians and pediatricians should be vigilant for signs of ocular complications in children on these therapies.
  • Early detection and management are key to preventing vision impairment from steroid-induced glaucoma.

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