Steroid Injection for Shoulder Pain and Glaucoma

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?

...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

I'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

From 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!

I’m in a similar situation and very sensitive to higher eye pressure after steroid eye drops or prednisone pills for eyes or asthma. These steroids can be stopped and my pressures will return to normal/high in 2 or 3 days. Now I need steroid injections in my hip and fingers for arthritis. I am told by Orthopedic doctor that a steroid hip or hand injection will keep steroids in my blood stream for 4 to 6 months. I assume that with the steroid in my blood stream for months that my eye pressures will remain high during that time. Two eye doctors agree that injections could raise my eye pressures but differ on how long the steroids may or may not severely affect my eye pressures.

I have glaucoma and macular degeneration. I have found that most medications affect one or both of my eye conditions. I must check every time I take or want to take a new medication to be sure. Steroids definitely. But, maybe short term would be okay. Even certain exercises affect eye pressure, mainly weight lifting. My grandson has high eye pressure and he is 29. I blame it on his lifting heavy weights.

.....my health issues have not improved a lot since i was gold normal tension/pressure glaucoma and even tho had "iridotomies" am stil very scared to use ANY medications that will raise eye pressure.. my adult children do not understand my choice. But even the Specialist years ago said there is "always a chance" it would happen, and that Iridotomies can grow over etc. Belive it or not I managed to take myself off Zoloft and Clonazepam had been on for over a decare , all by myself with no help... but it took over a year .. and I would have been better stayin on them, but i dont want to lose my vision and where i live if anything happens on a weekend, thru the night or whatever, no way can see an opthalmologist at our emerge!