DR. SUBHRA SARITA BEHERA

Dr.Anita Misra, Dr.Lopamudra Bishi, DR. AMRITA PRADHAN

Abstract

AIM- To study profile of iatrogenic steroid induced glaucoma (SIG) in children .

MATERIALS & METHOD -prospective analysis of 120 children (204 eyes) with SIG developed after prolonged steroid therapy by any route & followed up for >6months with VA, tonometry, Gonioscopy, 90D , Perimetry. Treated by stopping steroid,if >2 wks then anti-glaucoma drugs, surgery if unresponsive despite maximal medications

OBSERVATION- commonest steroid indication – ocular allergy (62%) and asthma (22%),commonest route- topical (74%) and inhalation (16%), commonest steriod – prednisolone drops (76%) and Budesonide inhaler(14%) ,duration >3 months (82%) , reversible on early cessation (64%)

CONCLUSION- replace Chronic steroid use with pulse therapy<2wks or less potent drops or anti-inflammatory or antimetabolites or immunomodulators if refractory in lowest possible dose over shortest duration . Take baseline IOP before initiating monitor closely throughout to prevent irreversible damage by glaucoma[advanced_iframe src="https://view.officeapps.live.com/op/embed.aspx?src=https://aiosproceedings.s3.ap-southeast-1.amazonaws.com/2021/E-Poster/FP2095.pptx" width="100%" height="608"]