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Intraocular Pressure Elevation among Pediatric Patients Given Corticosteroids after Strabismus Surgery
Jewel Faith F Anotado1,2, Alvina Pauline D Santiago3,4,5,6
1Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Acta Medica Philippina
|June 8, 2026
Summary
Topical corticosteroid use after pediatric strabismus surgery frequently causes elevated intraocular pressure (IOP). Close monitoring of IOP is crucial in children to prevent potential vision loss from steroid-induced glaucoma.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Glaucoma Research
Background:
- Corticosteroids are vital in ophthalmology for their anti-inflammatory and immunosuppressive properties.
- Their use is common in treating ocular inflammatory conditions and post-operative care.
- However, elevated intraocular pressure (IOP) is a significant ocular side effect of steroid use.
Purpose of the Study:
- To determine the incidence of IOP elevation in pediatric patients after strabismus surgery.
- To assess the impact of corticosteroid treatment on IOP in this population.
- To inform early detection and intervention strategies for steroid-induced glaucoma.
Main Methods:
- A single-center, retrospective, observational study.
- Reviewed clinical records of pediatric patients undergoing strabismus surgery (2015-2022).
- Analyzed patient demographics, surgical details, IOP readings, and topical steroid use.
Main Results:
- 82.2% of patients experienced increased IOP post-surgery, with 56.7% showing a considerable rise.
- Topical steroid medication was adjusted (stopped or tapered) in most cases of significant IOP increase.
- Nine patients received IOP-lowering medication, with IOP normalizing in most within two months.
Conclusions:
- IOP elevation is common following strabismus surgery in pediatric patients using topical corticosteroids.
- Close IOP monitoring is strongly recommended for children undergoing strabismus surgery and receiving steroid treatment.
- Timely intervention can help prevent glaucomatous optic neuropathy.
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