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Corticosteroid Induced Posterior Subcapsular Cataract.

J Kačmař, D Cholevík

    Ceska a Slovenska Oftalmologie : Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti
    |June 27, 2019
    PubMed
    Summary
    This summary is machine-generated.

    Steroid-induced posterior subcapsular cataract is linked to corticosteroid use. Early diagnosis and cataract surgery significantly improve vision in affected patients.

    Keywords:
    corticoidsposterior subcapsular cataractpresenilic ageside effects

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    Area of Science:

    • Ophthalmology
    • Pharmacology

    Background:

    • Posterior subcapsular cataract can be induced by corticosteroid medication.
    • Understanding the clinical presentation and origin is crucial for diagnosis.

    Purpose of the Study:

    • To describe the clinical ocular findings in patients with steroid-induced posterior subcapsular cataract.
    • To investigate the character and origin of this specific cataract type.

    Main Methods:

    • Retrospective analysis of 23 patients (35 eyes) treated between May 2016 and May 2018.
    • Review of medical records, including complex eye examinations and cataract surgery with intraocular lens implantation.

    Main Results:

    • Posterior subcapsular cataract incidence correlated with steroid therapy (local, oral, inhaled).
    • Pre-adolescent patients were predominantly affected.
    • Significant improvement in corrected distance visual acuity (CDVA) was observed postoperatively.

    Conclusions:

    • Steroid-induced cataract is a clinical diagnosis based on corticosteroid dose and duration.
    • Thorough ocular examination and patient history are essential for diagnosis.
    • Cataract surgery is the primary treatment, requiring experienced surgeons due to potential complications.