Transient glaucoma after an epidural steroid injection: a case report

Area of Science:

• Anesthesiology
• Ophthalmology
• Pain Management

Background:

• Steroids are widely used for medical conditions but can cause significant side effects.
• Epidural steroid injections (ESIs) are a standard treatment for chronic low back and radicular pain.

Observation:

• A patient experienced sudden bilateral blurred vision post-ESI.
• This visual disturbance was linked to elevated intraocular pressure (IOP).

Findings:

• The patient's high IOP led to unexpected, temporary vision loss.
• Symptoms resolved spontaneously over 3.5 months without specific ophthalmic treatment.

Implications:

• Patients undergoing ESIs should be informed about potential visual complications.
• Pre-procedural IOP measurement is recommended for high-risk patients (e.g., with hypertension, diabetes).
• Consideration of alternative pain management strategies and comprehensive patient care planning is crucial for safety.