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[Corticosteroids and the risk of glaucoma]
L A A van Boxtel1, P L L J Hardus, W S Al Hassan
1Universitair Medisch Centrum Groningen, Postbus 30.001, 9700 RB Groningen.
Nederlands Tijdschrift Voor Geneeskunde
|November 25, 2005
Summary
Corticosteroids can cause glaucoma, a serious side effect leading to blindness. Regular eye examinations are crucial for patients using steroids, especially those with a family history of glaucoma.
Area of Science:
- Ophthalmology
- Endocrinology
Background:
- Corticosteroids are widely prescribed for various medical conditions.
- A significant adverse effect of corticosteroid use is the development of glaucoma.
- Glaucoma, a leading cause of blindness, is often diagnosed at advanced stages.
Observation:
- Three young patients (two female, aged 20 and 32; one male, aged 28) developed glaucoma.
- The glaucoma was directly linked to the topical application of steroids.
- This highlights a potential risk even in younger individuals with steroid use.
Findings:
- Topical steroid use can induce glaucoma.
- Early detection is critical as the condition may be asymptomatic until advanced stages.
- Risk factors include regular steroid use in or around the eye.
Implications:
- Annual eye examinations are recommended for patients with a family history of glaucoma using ocular or periocular steroids.
- Consider follow-up for patients with a family history of glaucoma using systemic steroids.
- All patients on regular steroid therapy should seek prompt ophthalmological consultation if visual disturbances arise.
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