Druginduced Glaucoma

Local and systemic steroids can cause a rise in intraocular pressure and this is more likely to occur in patients with a family history of glaucoma. Steroid glaucoma is a well-recognised phenomenon and "steroid responders" can be identified by measuring the intraocular pressure before and after instilling a drop of steroid. The less potent steroids, hydrocortisone and pred-nisolone, are less likely to cause this problem and other steroids have been manufactured that have less effect on intraocular pressure, but the anti-inflammatory strength is significantly weaker. The use of systemic steroids can be associated with glaucoma; asthmatics who use steroid inhalers frequently are at a significantly greater risk of developing glaucoma.

The possibility of inducing an attack of acute glaucoma by drugs has already been mentioned.

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