Dr. Gazal Patnaik, P18593, Dr. Anita Misra, Dr. Nanda Prasanta Kumar, Dr. Parul Priyambada, Dr.Sumita Mohapatra
INTRODUCTION – steroid induced glaucoma (SIG) -iatrogenic OAG, usually reversible on early cessation.
MATERIALS & METHOD – Retrospective analysis of 120 children (204 eyes) with SIG, after prolonged steroid by any route &followed-up for >1yr for VA, tonometry, Gonioscopy, 90D disc, Perimetry.
TREATMENT – stopped steroid, if >IOP >2 wks then anti-glaucoma drugs + low potent steroid on rapid tapering +NSAID ,surgery if >IOP despite maximal medications
OBSERVATION – commonest steroid indication – topical for ocular allergy ,commonest cause of >IOP- topical, potency α>IOP , duration & dose α >IOP.
CONCLUSION – replace Chronic injudicious use of potent drops by pulse therapy<2wks / less potent drops / anti-inflammatory / antimetabolites / immunomodulators if refractory .Use lowest possible amount over shortest duration systemically. Baseline IOP before initiating topical/systemic steroid, monitor IOP closely throughout to prevent irreversible damage by glaucoma