Steroid induced ocular hypertension

The second major complication is a steroid related rise in eye pressure, also known as being a "steroid responder".  This usually requires at least 2 weeks of continuous steroid use, and is reversible if the steroid is discontinued.  The rise in pressure can be very high but if often asymptomatic.  It may be more common in people already being treated for glaucoma. If a person has glaucoma or has a history of steroid related eye pressure problems, they should consult with an ophthalmologist for monitoring of eye pressure if steroid treatment is being contemplated.

It may be apparent after reading this material that doctors who treat ocular inflammatory disease must have special training in both ophthalmology and in ocular immunology.  This type of specialty training is accomplished at an advanced level and is termed Fellowship training.  Doctors with this training are specialists in Ocular Immunology, the immunology of the eye, as well as comprehensive ophthalmology.  Ocular immunologists, because of their specialty training, are better able to hunt for the cause of your ocular inflammatory disease. Such specialists apply the principles of diagnosis of ocular inflammatory disorders in order to initiate appropriate, disease-directed evaluations. It is the cause of the OID, whether idiopathic or not, that directs treatment.

2008 – 2017 Adaptogeny .
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The symptoms of ocular MG can also be addressed by non-medicinal means. Ptosis can be corrected with placement of crutches on eyeglasses and with ptosis tape to elevate eyelid droop. Diplopia can be addressed by occlusion with eye patching, frosted lens, occluding contact lens, or by simply placing opaque tape over a portion of eyeglasses. Also, plastic prisms (Fresnel prisms) can be attached to eyeglasses of a diplopic patient, allowing for alignment of vision from both eyes in the affected direction, but are often problematic if the degree of muscle weakness, and therefore ocular misalignment, fluctuates frequently.

Diagnosis of reactive arthritis (including the condition formerly called Reiter’s syndrome) is mainly clinical.  There are no validated diagnostic criteria, however some guidance for diagnosis is available. [18, 19, 20, 10]   In 1995, the Third International Workshop on Reactive Arthritis established criteria for diagnosing reactive arthritis.  The main criteria involve the pattern of joint involvement and the timing of the onset of the condition (such as soon after an infection).  Diagnosis of Reiter’s syndrome has essentially been replaced with diagnosis of the broader category in which it resides:  Reactive Arthritis.

Steroid induced ocular hypertension

steroid induced ocular hypertension

The symptoms of ocular MG can also be addressed by non-medicinal means. Ptosis can be corrected with placement of crutches on eyeglasses and with ptosis tape to elevate eyelid droop. Diplopia can be addressed by occlusion with eye patching, frosted lens, occluding contact lens, or by simply placing opaque tape over a portion of eyeglasses. Also, plastic prisms (Fresnel prisms) can be attached to eyeglasses of a diplopic patient, allowing for alignment of vision from both eyes in the affected direction, but are often problematic if the degree of muscle weakness, and therefore ocular misalignment, fluctuates frequently.

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