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Steroid Injection for Shoulder Pain and Glaucoma
Hello all,
I don't know if anyone has had experience with this. I have glaucoma which is being maintained fairly well with Latanoprost eye drops. Currently I have a shoulder condition that I went to a specialist for and he recommended a steroid injection (triamcinolone) to reduce the inflammation and pain. I read a paper from 2018 that was only a pilot study, but it showed that such injections can increase IOP on average 2.75 mm but can be >7mm. And those changes can remain a month later. The title of the paper is, Intraocular Pressure Increases After Intraarticular Knee Injection With Triamcinolone but Not Hyaluronic Acid. I can't post links.
I'm not certain I want to risk the injection. Does anyone have any experience or insight on whether a steroid injection for pain can or will affect your eyes?
Thanks
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Hello @wrightbrain, Welcome to Connect. I thought I would post the link for you since new members have a short period of time where they are not able to post links. This is done to prevent advertisers and spammers from flooding our community with spam.
--- Intraocular Pressure Increases After Intraarticular Knee Injection With Triamcinolone but Not Hyaluronic Acid: https://pubmed.ncbi.nlm.nih.gov/29533245/.
I thought I would also share this Mayo Clinic Study from 2011:
--- Mayo Clinic Study Warns of IOP Rise in Some Lucentis Patients: https://www.reviewofophthalmology.com/article/mayo-clinic-study-warns-of-iop-rise-in-some-lucentis-patients.
@dsh33782 may have some thoughts on steroid injections. Also you may want to view the following discussion.
--- Was just diagnosed with glaucoma, need support!: https://connect.mayoclinic.org/discussion/was-just-diagnosed-with-glaucoma-need-support/.
Have you discussed your concern with your doctor or ophthalmologist?
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4 Reactions...interested in reading comments to be made as well. because since diag. of narrow angle glaucoma 2018 and iridotomies to eyes 2020 am still cautious of steroids, and many other meds prescription and over the counter that warn can cause a rise in eye pressure and to be honest, have received criticism for my concerns; one nurse of elderly telling me to take the antidepressant and that there are talking books at our library! also another professional sort of saying to trade possible vision loss for feeling happier on antidepressants: oh so hope that their futures don't turn out to be like mine with worry about meds all the time.. and no, not trading eyesight for "anything" as have ibs-d, fecal incontinence and who would clean up after me if I cannot see to do it!! plus other reasons.. good for you to enquire about this treatment "before" having it, best of luck. J. (risk may be small but no one can positively say it won't happen to me) hugs
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2 ReactionsI'm amazed, we have some things in common. I use the same eyedrop and have recently had steriod injections in my shoulder. I didn't think to research affects on IOP. I can't help but hoping to see if any one else replies (following). Take care x
Bump!
“Steroids are the main medicine that can raise eye pressure for patients with open-angle glaucoma,” Dr. McKinney says. Taking steroid drugs in any form – orally, topically, through an inhaler or IV – can worsen glaucoma for these patients.
Steroids applied closest to the eye carry the highest risk.
American Academy of Ophthalmology
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1 ReactionFrom what I have read, totally agree re steroids and some other meds (sulfa drugs?) raising eye pressure for different types of glaucoma (mine is narrow angles) but try telling that to a dr., nurse practitioner or pharmacist when they prescribe/provide eye pressure raising meds! Even Optometrsit gave me a steroid ointment for eyelids, and a dr a steroid cream for whole face saying don't get in eyes! Getting mixed messages!