A very early steroid responder after cataract surgery: a case report

Abstract Background Increased intraocular pressure (IOP), a side effect of corticosteroid eye drops, typically develops during the first few weeks of administration, and steroid response is not generally considered a cause of increased IOP immediately after cataract surgery. Case presentation Here,...

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Main Author: Atsushi Kawahara
Format: Article
Language:English
Published: BMC 2023-05-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-023-02991-5
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author Atsushi Kawahara
author_facet Atsushi Kawahara
author_sort Atsushi Kawahara
collection DOAJ
description Abstract Background Increased intraocular pressure (IOP), a side effect of corticosteroid eye drops, typically develops during the first few weeks of administration, and steroid response is not generally considered a cause of increased IOP immediately after cataract surgery. Case presentation Here, I report a rare case of increased IOP due to steroid eye drops immediately after surgery. A man in his 80s presented with vision loss. Bilateral cataracts and pseudoexfoliation syndrome were confirmed. Postoperative eye drops including steroid eye drops were started immediately after cataract surgery in the right eye. High IOP was observed at the next and subsequent morning visits, but IOP normalized when steroid eye drops were discontinued. After surgery on the left eye, steroids were not administered postoperatively, and no increase in IOP was observed. Conclusion This case report highlights that a very early steroid response may be potential cause of elevated IOP immediately after cataract surgery.
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spelling doaj.art-4779881c67ec4b7992a4de3f6170687a2023-05-28T11:11:26ZengBMCBMC Ophthalmology1471-24152023-05-012311410.1186/s12886-023-02991-5A very early steroid responder after cataract surgery: a case reportAtsushi Kawahara0Department of Ophthalmology, Yoshida Eye HospitalAbstract Background Increased intraocular pressure (IOP), a side effect of corticosteroid eye drops, typically develops during the first few weeks of administration, and steroid response is not generally considered a cause of increased IOP immediately after cataract surgery. Case presentation Here, I report a rare case of increased IOP due to steroid eye drops immediately after surgery. A man in his 80s presented with vision loss. Bilateral cataracts and pseudoexfoliation syndrome were confirmed. Postoperative eye drops including steroid eye drops were started immediately after cataract surgery in the right eye. High IOP was observed at the next and subsequent morning visits, but IOP normalized when steroid eye drops were discontinued. After surgery on the left eye, steroids were not administered postoperatively, and no increase in IOP was observed. Conclusion This case report highlights that a very early steroid response may be potential cause of elevated IOP immediately after cataract surgery.https://doi.org/10.1186/s12886-023-02991-5Steroid responderTopical steroidsSteroid eye dropsIntraocular pressureCataract surgery
spellingShingle Atsushi Kawahara
A very early steroid responder after cataract surgery: a case report
BMC Ophthalmology
Steroid responder
Topical steroids
Steroid eye drops
Intraocular pressure
Cataract surgery
title A very early steroid responder after cataract surgery: a case report
title_full A very early steroid responder after cataract surgery: a case report
title_fullStr A very early steroid responder after cataract surgery: a case report
title_full_unstemmed A very early steroid responder after cataract surgery: a case report
title_short A very early steroid responder after cataract surgery: a case report
title_sort very early steroid responder after cataract surgery a case report
topic Steroid responder
Topical steroids
Steroid eye drops
Intraocular pressure
Cataract surgery
url https://doi.org/10.1186/s12886-023-02991-5
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