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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Language: | English |
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Wiley
2016-01-01
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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. |
format | Article |
id | doaj-art-2f03b572d881461eacd08709f6905a64 |
institution | Kabale University |
issn | 2090-6722 2090-6730 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
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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