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Glaucoma caused by topical corticosteroid application to the eyelids

Helen HL Chan and John F Salmon
Med J Aust 2019; 210 (4): . || doi: 10.5694/mja2.50012
Published online: 4 March 2019

A 64‐year‐old woman was referred to the glaucoma clinic at a tertiary eye hospital with elevated intraocular pressure (IOP) noted by her optometrist (right eye, 42 mmHg; left eye, 40 mmHg; reference interval, 10–21 mmHg). She reported being diagnosed with normal tension glaucoma in the left eye at 30 years of age at another hospital, for which she had been prescribed topical pilocarpine 1% three times per day. However, after several years of follow‐up with no progressive change of either the optic disc or visual field, and with IOP consistently in the normal range, treatment had been ceased. She had low myopia; there was no family history of glaucoma. She had no other medical history apart from eczema.


  • Oxford Eye Hospital, Oxford, UK


Correspondence: helen.chan@eyeandear.org.au

Competing interests:

No relevant disclosures.

  • 1. Sahni D, Darley CR, Hawk JL. Glaucoma induced by periorbital topical steroid use – a rare complication. Clin Exp Dermatol 2004; 29: 617–619.
  • 2. Haeck IM, Rouwen TJ, Timmer‐de Mik L, et al. Topical corticosteroids in atopic dermatitis and the risk of glaucoma and cataracts. J Am Acad Dermatol 2011; 64: 275–281.
  • 3. Garrott HM, Walland MJ. Glaucoma from topical corticosteroids to the eyelids. Clin Exp Ophthalmol 2004; 32: 224–226.
  • 4. Spaeth GL, Rodrigues MM, Weinreb S. Steroid‐induced glaucoma: A. Persistent elevation of intraocular pressure B. Histopathological aspects. Trans Am Ophthalmol Soc 1977; 75: 353–381.
  • 5. Spaeth GL, Monteiro de Barros DS, Fudemberg SJ. Visual loss caused by corticosteroid‐induced glaucoma: how to avoid it. Retina 2009; 29: 1057–1061.
  • 6. Kersey JP, Broadway DC. Corticosteroid‐induced glaucoma: a review of the literature. Eye 2006; 20: 407.
  • 7. Mooney E, Rademaker M, Dailey R, et al. Adverse effects of topical corticosteroids in paediatric eczema: Australasian consensus statement. Aust J Dermatol 2015; 56: 241–51.

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