Acute
Corticosteroid Glaucoma : A Case Report
Pornchai Simaroj M.D.*,
Ataya Euswas M.D.*,
Skowrat Kunavisarut M.D.*
*Department of Ophthalmology, Faculty of Medicine, Faculty of Medicine,
Ramathibodi Hospital, Mahidol University, Bangkok.
ABSTRACT An
eleven year-old Thai boy presented with acute eyeache with intra ocular
tension of 58 mm. Hg. in the right and 63 mm. Hg. in the left. There were
signs of acute rising of intraocular pressure including corneal edema, circumcorneal
congestion, Sluggished pupillary light reaction, but widely open angles
both eyes. He had been treated with prednisolone 2 mg/kg/day for nephrotic
syndrome in the past eight months.
However oral corticosteroid was needed to maintain renal
function during glaucomatous treatment. The intraocular pressure could not
be controlled neither with antiglaucomatous medications nor laser trabeculoplasties.
Therefore, surgical trabeculectomies were performed in both eyes. During
twenty months post operative follow up, intraocular pressure had been within
midteens mm. Hg. without any antiglaucomatous medication
Thai
J Ophthalmol 1988; March 2(1):15-17.
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