A case of steroid-induced glaucoma after radial keratotomy |
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| Institution: | 1. Department of Aquaculture, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan, ROC;2. Department of Food Science, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan, ROC;3. Freshwater Aquaculture Research Center, Fisheries Research Institute, Council of Agriculture, Executive Yuan, Changhua, 50562, Taiwan, ROC;1. Laboratory of Aquatic Animal Health and Therapeutics, Institute of Biosciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;2. Department of Aquaculture, Faculty of Agriculture, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;3. Laboratory of Sustainable Aquaculture, International Institute of Aquaculture and Aquatic Sciences, 71050 Port Dickson, Negeri Sembilan, Malaysia;4. Department of Microbiology, Faculty of Biotechnology and Molecular Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;5. Department of Veterinary Pathology and Microbiology, Faculty of Veterinary Medicine, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;1. Department of Clinical and Community Pharmacy, Faculty of Pharmacy, University of Surabaya, Jalan Raya Kalirungkut, Surabaya, 60293, Indonesia;2. Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok, 16424, Indonesia;3. Department of Psychology, Laboratory for Developmental Psychology, Faculty of Psychology, University of Surabaya, Jalan Raya Kalirungkut, Surabaya, 60293, Indonesia;4. Department of Pharmaceutics, Faculty of Pharmacy, University of Surabaya, Jalan Raya Kalirungkut, Surabaya, 60293, Indonesia;1. Experimental Medicine & Stem Cell Research Laboratory, Department of Physiology, West Bengal State University, Barasat, Kolkata 700 126, India;2. Microbiology Laboratory, All Asia Medical Institute, Kolkata 700029, India |
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| Abstract: | Background: We report a patient who was diagnosed as having steroid-induced glaucoma after radial keratotomy (RK) and who suffered from severe visual field defect.Case: A 29-year-old man underwent RK for both eyes. After the operation, he was treated for six months with topical medication including 0.1% and 0.01% betamethasone without an intraocular pressure (IOP) measurement. When he consulted an ophthalmologist, his IOP was 43 mmHg in the right eye and 51 mmHg in the left eye. At our initial examination, his IOP was 8 mmHg in the right eye and 10 mmHg in the left eye. He was taking 750 mg acetazolamide peroral, 0.5% timolol maleate, and latanoprost eyedrops. There were 16 RK incisions on the cornea and we found severe glaucomatous visual field loss. Finally we performed trabeculotomy in both eyes for IOP control with conservative therapy.Conclusion: As keratorefractive surgery becomes popular, we must be alert for problems, such as steroid-induced glaucoma, and the change in refraction following the change in IOP. Nippon Ganka Gakkai Zasshi |
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