Evaluation and Management of Steroid Induced Glaucoma in Vernal Keratoconjunctivitis Patients

Abstract

Purpose: To study the behaviour and management of steroid induced glaucoma in vernal keratoconjunctivitis (VKC) patients in our setup.

Material and Methods: Sixteen patients of VKC with steroid induced glaucoma were enrolled in this study presented to Al Shifa Trust Eye Hospital during year 2005. Clinical signs and symptoms, management and outcome of these patients was observed for up to six months.

Results: With steroid induced glaucoma the pressure elevation is gradual. Therefore, like primary open angle glaucoma, very few symptoms exist. Cases in which intraocular pressure did not normalize upon cessation of steroids, needed medical and surgical intervention.

Conclusion: In VKC patients, most effective drug, steroid should be carefully administered, and only for brief periods, to avoid secondary development of glaucoma. All patients who use chronic corticosteroid medication in any capacity should have a full ophthalmologic evaluation during the course of treatment.