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Buphthalmos following systemic steroid treatment
1Glaucoma Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Journal of Pediatric Ophthalmology and Strabismus
|October 7, 2006
Summary
Systemic corticosteroid treatment can cause juvenile glaucoma in infants, leading to increased intraocular pressure and buphthalmos. Discontinuing steroid use helped normalize eye pressure in this case.
Area of Science:
- Ophthalmology
- Pediatrics
- Endocrinology
Background:
- Corticosteroid-induced glaucoma is a known complication in adults.
- Its occurrence in pediatric populations, particularly infants, is less documented.
Observation:
- An infant receiving systemic steroid therapy developed juvenile glaucoma.
- The infant presented with buphthalmos, a sign of elevated intraocular pressure.
Findings:
- The infant's intraocular pressure normalized after cessation of corticosteroid treatment.
- This suggests a direct link between systemic steroid exposure and glaucoma development in infants.
Implications:
- Highlights the potential risk of systemic corticosteroids in pediatric glaucoma.
- Emphasizes the need for vigilant intraocular pressure monitoring in infants on steroid therapy.
- Informs clinical practice regarding steroid use in young children.
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