Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis

We present a rare case of severe corticosteroid-induced ocular hypertension (OHT) after prolonged systemic corticosteroid use in a young woman with Takayasu’s arteritis. As she did not sufficiently respond to ocular antihypertensive therapies, bilateral enhanced trabeculectomies were required to nor...

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Main Authors: Anna Maria Gruener, Pranev Sharma, Sally Ameen, Faisal Ahmed
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2016/5253029
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author Anna Maria Gruener
Pranev Sharma
Sally Ameen
Faisal Ahmed
author_facet Anna Maria Gruener
Pranev Sharma
Sally Ameen
Faisal Ahmed
author_sort Anna Maria Gruener
collection DOAJ
description We present a rare case of severe corticosteroid-induced ocular hypertension (OHT) after prolonged systemic corticosteroid use in a young woman with Takayasu’s arteritis. As she did not sufficiently respond to ocular antihypertensive therapies, bilateral enhanced trabeculectomies were required to normalize her intraocular pressures. The systemic side effects of corticosteroids are well known, yet steroid-induced OHT and glaucoma remain silent causes of ocular morbidity. This case highlights the importance of IOP-monitoring in visually asymptomatic patients on systemic corticosteroids. It further emphasizes the need to raise awareness of the potential ocular side effects of steroids amongst physicians, in particular those looking after patients with autoimmune and inflammatory diseases.
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language English
publishDate 2016-01-01
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-2f03b572d881461eacd08709f6905a642025-02-03T00:59:25ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302016-01-01201610.1155/2016/52530295253029Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s ArteritisAnna Maria Gruener0Pranev Sharma1Sally Ameen2Faisal Ahmed3Western Eye Hospital, Imperial College Healthcare NHS Trust, London, UKWestern Eye Hospital, Imperial College Healthcare NHS Trust, London, UKWestern Eye Hospital, Imperial College Healthcare NHS Trust, London, UKWestern Eye Hospital, Imperial College Healthcare NHS Trust, London, UKWe present a rare case of severe corticosteroid-induced ocular hypertension (OHT) after prolonged systemic corticosteroid use in a young woman with Takayasu’s arteritis. As she did not sufficiently respond to ocular antihypertensive therapies, bilateral enhanced trabeculectomies were required to normalize her intraocular pressures. The systemic side effects of corticosteroids are well known, yet steroid-induced OHT and glaucoma remain silent causes of ocular morbidity. This case highlights the importance of IOP-monitoring in visually asymptomatic patients on systemic corticosteroids. It further emphasizes the need to raise awareness of the potential ocular side effects of steroids amongst physicians, in particular those looking after patients with autoimmune and inflammatory diseases.http://dx.doi.org/10.1155/2016/5253029
spellingShingle Anna Maria Gruener
Pranev Sharma
Sally Ameen
Faisal Ahmed
Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
Case Reports in Ophthalmological Medicine
title Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
title_full Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
title_fullStr Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
title_full_unstemmed Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
title_short Severe Corticosteroid-Induced Ocular Hypertension Requiring Bilateral Trabeculectomies in a Patient with Takayasu’s Arteritis
title_sort severe corticosteroid induced ocular hypertension requiring bilateral trabeculectomies in a patient with takayasu s arteritis
url http://dx.doi.org/10.1155/2016/5253029
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AT sallyameen severecorticosteroidinducedocularhypertensionrequiringbilateraltrabeculectomiesinapatientwithtakayasusarteritis
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