Dr. Arnab Pal
Ophthalmology (Eye Care)
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Patient's Query
Hi doctor,
I am a 31-year-old male. I have been having blurry vision and photophobia for the past year and have been getting my eyes checked every six months (dilated). Recently I was diagnosed with steroids induced OHT and allergic conjunctivitis. But the doctor has prescribed me two tests OCT and HVF. I read that these two tests are for glaucoma. But after a dilated eye exam doctor said that all is fine. I want to know why these tests are referred to? Or will glaucoma and chances of glaucoma be caused by OHT from ten months of mild steroid use? Eye pressure was 24 and 24 when diagnosed, and in two days, it dropped to 16 and 14 after using drops twice a day. In the past, I use to take CMC, FML, and Ketorolac.
Hello,
Welcome to icliniq.com.
The steroid-induced intraocular pressure rise is a real entity. You have just sent the latest prescription, but what about the earlier ones? Steroid drop use can lead to intraocular pressure rise after two weeks of the start of the drops, which generally drops on discontinuation of the steroid eye drops. Long-term steroid usage can lead to intraocular pressure (IOP) rise and damage to the optic nerve and visual fields. Though you have not sent me pictures of the reports (I recommend you to send those), it seems you only had intraocular pressure rise without any optic nerve damage. But maybe there is a chance that intraocular pressure may rise again after discontinuing the IOP-lowering drug Timolol. If the IOP remains stable even after discontinuation of Timolol, then you need not worry. Yes, the doctors were correct in carrying out the tests as there is a chance of developing glaucoma. Such tests need to be done at regular intervals. I hope it helps you. Thanks.
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Ophthalmology (Eye Care)
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