[Clinical analysis of steroid glaucoma].

During 1970-1990, the authors accumulated 15 cases (26 eyes) of steroid glaucoma due to topical administration of dexamethasone or prednisolone. The patients comprised 10 men and 5 women, averaging 28 years of age. The clinical course was like chronic open angle glaucoma in 25 eyes, and 1 eye simulated an acute glaucoma attack. On presentation, the IOP was over 6.7 kPa in 9 eyes despite of antiglaucoma medication. The C/D ratio was > 0.6 in 9 cases (16 eyes), and the values were inconsistent between both eyes in 55% of the patients. Treatment was immediate discontinuation of the steroids, with antiglaucoma medication if necessary. 3 eyes were done filtering operations and 2 eyes had the subconjunctival residual steroid injection removed. Normal IOP was restored in months up to a year.