A Case of Steroid Glaucoma in a Child Treated with Systemic Steroid as Graft-Versus-Host Disease
Journal of the Korean Ophthalmological Society
; : 518-523, 2016.
Article
em Ko
| WPRIM
| ID: wpr-150274
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To report a case of steroid-induced glaucoma in a child who was treated with systemic steroids for a long period due to graft-versus-host disease. CASE SUMMARY: A 10-year-old male was referred to our ophthalmologic clinic for examination of papilledema due to persistent headache and nausea. He was diagnosed as aplastic anemia 8 years prior and took approximately 4,000 mg of oral prednisolone for 8 years from April 2007 to April 2015 for treatment of lung graft-versus-host disease after hematopoietic stem cell transplantation. His best corrected visual acuity was 0.8 (decimal) in the right eye, 0.5 in the left eye and intraocular pressure (IOP) measured using a Goldmann applanation tonometer was 42 mm Hg in the right eye and 43 mm Hg in the left eye. His cup-to-disc ratio was 0.8 in the right eye and 0.7 in the left eye. Additionally, superior and inferior neuroretinal rim thinning was present in both eyes. Despite using IOP-lowering agents, IOP was not controlled. However, after trabeculectomy with mitomycin C in both eyes, IOP became normalized. CONCLUSIONS: In cases of pediatric patients treated with systemic steroids for a long period of time, regular observation is necessary to prevent IOP elevation and steroid-induced glaucoma.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Esteroides
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Prednisolona
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Trabeculectomia
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Acuidade Visual
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Papiledema
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Glaucoma
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Mitomicina
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Transplante de Células-Tronco Hematopoéticas
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Doença Enxerto-Hospedeiro
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Cefaleia
Limite:
Child
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Humans
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Male
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2016
Tipo de documento:
Article