Gruener Anna Maria, Sharma Pranev, Ameen Sally, Ahmed Faisal
Western Eye Hospital, Imperial College Healthcare NHS Trust, London, UK.
Case Rep Ophthalmol Med. 2016;2016:5253029. doi: 10.1155/2016/5253029. Epub 2016 Nov 10.
We present a rare case of severe corticosteroid-induced ocular hypertension (OHT) after prolonged systemic corticosteroid use in a young woman with Takayasu's arteritis. As she did not sufficiently respond to ocular antihypertensive therapies, bilateral enhanced trabeculectomies were required to normalize her intraocular pressures. The systemic side effects of corticosteroids are well known, yet steroid-induced OHT and glaucoma remain silent causes of ocular morbidity. This case highlights the importance of IOP-monitoring in visually asymptomatic patients on systemic corticosteroids. It further emphasizes the need to raise awareness of the potential ocular side effects of steroids amongst physicians, in particular those looking after patients with autoimmune and inflammatory diseases.
我们报告了一例罕见病例，一名患有大动脉炎的年轻女性在长期全身使用皮质类固醇后出现严重的皮质类固醇诱导性高眼压（OHT）。由于她对眼部抗高血压治疗反应不佳，需要进行双侧小梁切除术以使其眼压恢复正常。皮质类固醇的全身副作用众所周知，但类固醇诱导的OHT和青光眼仍然是导致眼部发病的隐匿原因。该病例强调了对使用全身皮质类固醇的视觉无症状患者进行眼压监测的重要性。它进一步强调了提高医生，特别是那些照顾自身免疫性和炎性疾病患者的医生对类固醇潜在眼部副作用认识的必要性。
