There is a lady
Discomfort because of redness and swollen eyes. She went to the hospital.
Doctor prescribed
Presented eye drops for her.
But she did not follow up as per doctor's instructions. I bought the same eye drops in the pharmacy
. I continued to use
until my eyes were blurred and I went to the hospital
. I was diagnosed with hormone glaucoma
Why do long-term hormone eye drops
cause hormone glaucoma?
How do you know which eye drops
contains glucocorticoid ?
How to use
Glucocorticoid eye drops safely and effectively?
How to treat hormone glaucoma?
This issue of experts
Zeng Wen
Long-term use of glucocorticoid drugs
Why do you get hormone glaucoma?
glaucoma
is a group of diseases with characteristic optic atrophy
and visual field defect as common characteristics
Pathological increase in intraocular pressure
is its main risk factor
Our eyes are a tomato-sized ball, and there is a large amount of liquid in this small ball, just like a stream, and the liquid is flowing. In layman's terms, in this eyeball, there are faucets that produce water and sewers that flow out of water.
In normal people, the production and outflow of water are balanced, and the pressure inside the eyes is stable, while the use of glucocorticoids will increase the resistance to water outflow, resulting in the water not flowing out.
However, the production of water is not affected by glucocorticoids, which leads to the accumulation of fluid inside the eyes and causes increased intraocular pressure.
Early intraocular pressure increases, and it can return to normal after the hormone is discontinued.
However, if the hormone is used for too long, the long-term increase in intraocular pressure will compress the retina and optic nerve, resulting in nerve ischemia and hypoxia, etc., which will then cause optic nerve atrophy, , narrow the field of vision, and eventually cause hormonal glaucoma.
Who are prone to hormone glaucoma?
◔ Children and youth;
◔ primary open-angle glaucoma patients and first-degree relatives;
◔ highly myopic;
◔ diabetes patients;
◔ connective tissue disease (especially rheumatoid arthritis).
How to tell whether eye drops contain glucocorticoids?
◔ Find the drug ingredients in the drug instructions. If keywords such as "adrenal glucocorticoid" and "hormone" appear, it is a hormone-containing eye drop;
◔ When prescribing medicine in the hospital, the ophthalmologist will give a prompt and remind the patient to monitor the eye pressure regularly during the drop of hormone-like eye drops;
◔ If you are buying medicine in a pharmacy, you can ask the pharmacy staff on the spot.
How to use glucocorticoid drugs correctly?
! ! Using
under the guidance of a doctor. For some internal medical diseases, such as systemic lupus erythematosus , membranous nephropathy , etc., in addition to paying attention to systemic complications of hormone use, regular ophthalmic visits and monitoring of intraocular pressure are also required.
What are the symptoms of hormone glaucoma?
If you experience eye swelling, visual fatigue, headache and other discomfort when using glucocorticoid eye drops or oral medications, and you are highly myopia, have a history of open-angle glaucoma disease, or a first-degree relative, and are younger, you should be highly suspicious.How to diagnose hormonal glaucoma with
?
Intraocular pressure examination is required.
found that the intraocular pressure was elevated, the anterior chamber angle was open, the optic nerve atrophy, visual field defect, and the use of glucocorticoids. If the history of primary open-angle glaucoma was ruled out, it could be diagnosed.
How to treat hormone glaucoma?
◕ Drug: locally-spotted drugs;
◕ Laser: selective trabecular laser plasty;
◕ Surgery.
For newly diagnosed patients, the first choice is drug or laser treatment. The intraocular pressure after treatment is still uncontrollable, or the disease still progresses after the maximum treatment, or the advanced patient can choose surgical treatment.
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