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Corticosteroid-induced glaucoma in a child after a scleral reinforcement procedure
1Eye Clinic, Royal Brisbane Hospital, Brisbane, Queensland, Australia.
Insights
Corticosteroid-induced glaucoma can affect children, even after topical use. Regular eye pressure checks are vital for children using corticosteroids to prevent vision loss.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Pharmacology
Background:
- Corticosteroid-induced glaucoma (CIG) is a known complication of corticosteroid therapy.
- The ocular response to corticosteroids in pediatric populations is less understood than in adults.
Observation:
- A case report details a child who developed glaucoma following topical corticosteroid application after a scleral reinforcement procedure.
- The child exhibited elevated intraocular pressure (IOP) attributed to corticosteroid use.
Findings:
- Discontinuation of topical corticosteroids led to the control of elevated intraocular pressure.
- Antiglaucoma medication was also utilized in conjunction with corticosteroid cessation to manage the condition.
Implications:
- Pediatric patients undergoing corticosteroid treatment require vigilant monitoring of intraocular pressure.
- Routine IOP measurements should be integrated into the management of children using corticosteroids to mitigate the risk of glaucoma.
Abstract:
Corticoteroid-induced glaucoma can result from either topical or systemic corticosteroid use. Compared with adults, the corticosteroid response in children is less well known. The case is reported of a child who developed glaucoma after receiving topical corticosteroids following a scleral reinforcement procedure. The raised intraocular pressure was controlled after cessation of the corticosteroids and with the use of antiglaucoma therapy. As many forms of cortico-steroids are widely used, children on corticosteroids should have regular intraocular pressure measurements as part of their management.