A patient who is on long term steroid developed ceain ocular symptoms since few weeks. Which of the following condition is caused by chronic steroid use?: (A) Open angle glaucoma, (B) Conjunctival papillomatosis, (C) Uveitis, (D) None of the above
Answer is A. Topical, periocular, and intraocular coicosteroids may produce a type of glaucoma that simulates primary open-angle glaucoma, paicularly in individuals with a family history of the disease, and will exaggerate the intraocular pressure elevation in those with established primary open-angle glaucoma. Systemic steroid therapy is less likely to cause a rise in intraocular pressure. Ref: Salmon J.F. (2011). Chapter 11. Glaucoma. In P. Riordan-Eva, E.T. Cunningham, Jr. (Eds), Vaughan & Asbury's General Ophthalmology, 18e.