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Prevalence of steroid-induced glaucoma among patients suffering from vernal kerato-conjunctivitis in central India

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Original Article

Author Details : Nupur Sharma, Dheerendra Singh*, Rahul Agarwal

Volume : 8, Issue : 3, Year : 2022

Article Page : 363-367

https://doi.org/10.18231/j.ijceo.2022.074

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Abstract

Background: The present study is aimed to assess the prevalence of steroid-induced glaucoma in vernal kerato-conjunctivitis patients treated with topical steroids and to determine the association between different types of topical steroids and the presence of steroid-induced glaucoma.
Methodology: This study was conducted as a hospital-based cross-sectional study on patients belonging to the age range of 8 years to18 years who were already diagnosed with vernal kerato-conjunctivitis and were using topical steroids as treatment. Detailed clinical history and ophthalmologic examination were done. Depending upon the potency of steroids and their intra-ocular pressure raising potential, patients were categorized into one of the 4 groups (A, B, C, D).
Results: Intra-ocular pressure levels were raised in 32.9% of the patients managed with topical corticosteroids. Steroid-induced glaucoma was observed in 15 (6.1%) of the patients with vernal kerato-conjunctivitis. Steroid-induced glaucoma was significantly associated with prolonged duration of corticosteroids and high potency corticosteroid use (p<0> Conclusion: Steroid-induced glaucoma is one of the common complications of injudicious and long-term use of topical corticosteroids particularly high potency steroids. Approximately one-third of the patients on treatment for vernal kerato-conjunctivitis are corticosteroid responders. High potency steroids and prolonged use of steroids are factors associated with steroid-induced glaucoma.
 

Keywords: Steroid-induced glaucoma (SIG), Vernal kerato-conjunctivitis (VKC), Topical corticosteroids, Intra- ocular pressure (IOP), Potency, Duration

How to cite : Sharma N, Singh D, Agarwal R, Prevalence of steroid-induced glaucoma among patients suffering from vernal kerato-conjunctivitis in central India. Indian J Clin Exp Ophthalmol 2022;8(3):363-367

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