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Difficulty tapering off prednisone in one eye after cataract surgery
Eye Conditions | Last Active: Jun 8 11:23am | Replies (15)Comment receiving replies
My cataract surgeries were uneventful except for a dramatic rise in my intraocular pressure. The surgeon who did my cataract surgeries was the same ophthalmologist who treated me for recurrent uveitis. He was always concerned about my intraocular pressures while I was on prednisone. He labeled me a "steroid responder" which I thought was a good thing because uveitis responded to prednisone. However, it wasn't a good thing when my intraocular pressures increased and "responded" to prednisone. A well-known side effect of steroid eye drops is an increase in intraocular pressure (IOP), particularly in “steroid responders."
https://eyewiki.aao.org/Steroid-Induced_Glaucoma#:~:text=Since%20it%20was%20first%20reported,considered%2C%20%E2%80%9Csteroid%20responders%E2%80%9D.The combination of topical and systemic steroids might be increasing your intraocular pressures. Have your intraocular pressures been checked? You won't feel much until a threshold pressure is reached and then it made my eye feel like it was going to explode.
Are you aware of "secondary cataracts?" That was disconcerting to me when my vision deteriorated after cataract surgery. Fortunately it was a quick fix.
https://my.clevelandclinic.org/health/diseases/24737-posterior-capsular-opacification
Replies to "My cataract surgeries were uneventful except for a dramatic rise in my intraocular pressure. The surgeon..."
I am aware of posterior capsulation.
The surgeon is closed after his friday surgeries. If it is needed,
I will just stretch out Prednisone on an every other day pattern and see what Monday is like. For
the record, I had relief 15 mins after dropping in Prednisone this morning. Sounds responsive to me.
I was sadly also responsive to the nsaid eye drops and they triggered my microscopic colitis and after a month of symptoms managememt, i am back on Budesonide- the colon steroid.
I just didnt think I would absorb enough systemically to trigger it. Stupid of me
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When i had the surgery and went 45 mins later to the surgeons office and my ocular pressure was up and he put drops in and i couldn't leave until it was down to some level and he sent me home with Bromonidine ?) Tartrate to drop in every 3 hours that evening. The next day was a Saturday and my vision got really cloudy. I called, he said that was normal, and I think went back to his tee shot
After that it was ok until i stopped prednisone last Saturday. I had seen the surgeon for quick check friday just
Verifying my prescription they were ordering. I think the tech thought pressure was high but he said it was ok.