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.