PDF(Pubmed)
Abstract：
BACKGROUND: Increased intraocular pressure (IOP), a side effect of corticosteroid eye drops, typically develops during the first few weeks of administration, and steroid response is not generally considered a cause of increased IOP immediately after cataract surgery.
METHODS: Here, I report a rare case of increased IOP due to steroid eye drops immediately after surgery. A man in his 80s presented with vision loss. Bilateral cataracts and pseudoexfoliation syndrome were confirmed. Postoperative eye drops including steroid eye drops were started immediately after cataract surgery in the right eye. High IOP was observed at the next and subsequent morning visits, but IOP normalized when steroid eye drops were discontinued. After surgery on the left eye, steroids were not administered postoperatively, and no increase in IOP was observed.
CONCLUSIONS: This case report highlights that a very early steroid response may be potential cause of elevated IOP immediately after cataract surgery.
METHODS: Here, I report a rare case of increased IOP due to steroid eye drops immediately after surgery. A man in his 80s presented with vision loss. Bilateral cataracts and pseudoexfoliation syndrome were confirmed. Postoperative eye drops including steroid eye drops were started immediately after cataract surgery in the right eye. High IOP was observed at the next and subsequent morning visits, but IOP normalized when steroid eye drops were discontinued. After surgery on the left eye, steroids were not administered postoperatively, and no increase in IOP was observed.
CONCLUSIONS: This case report highlights that a very early steroid response may be potential cause of elevated IOP immediately after cataract surgery.
摘要：
背景：眼内压（IOP）升高，皮质类固醇滴眼液的副作用，通常在给药的最初几周内发展，和类固醇反应通常不被认为是白内障手术后立即IOP升高的原因。
方法：这里，我报告了一例罕见的手术后因类固醇滴眼液引起的IOP升高。一名80多岁的男子出现视力丧失。证实了双侧白内障和假性剥脱综合征。术后滴眼剂包括类固醇滴眼剂在右眼白内障手术后立即开始。在下一次和随后的上午访问中观察到高IOP，但当类固醇滴眼液停止时，IOP恢复正常。左眼手术后,术后未给予类固醇,并且没有观察到IOP的增加。
结论：本病例报告强调，非常早期的类固醇反应可能是白内障手术后即刻IOP升高的潜在原因。
方法：这里，我报告了一例罕见的手术后因类固醇滴眼液引起的IOP升高。一名80多岁的男子出现视力丧失。证实了双侧白内障和假性剥脱综合征。术后滴眼剂包括类固醇滴眼剂在右眼白内障手术后立即开始。在下一次和随后的上午访问中观察到高IOP，但当类固醇滴眼液停止时，IOP恢复正常。左眼手术后,术后未给予类固醇,并且没有观察到IOP的增加。
结论：本病例报告强调，非常早期的类固醇反应可能是白内障手术后即刻IOP升高的潜在原因。
