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- Title
Transient Glaucoma after an Epidural Steroid Injection: A Case Report.
- Authors
Manjiani, Deepak; Said, Salam; Kaye, Alan David
- Abstract
Background: Steroids are recognized as a beneficial treatment for various medical conditions, yet clinically relevant side effects of steroids are common and problematic, ranging from a minor case of acne to a potentially life-threatening Addisonian crisis. In anesthetic medicine, the use of epidural steroid injections (ESIs) for chronic low back pain and other radicular pain-related conditions has become standard practice in interventional pain management. Case Report: We report the case of a patient who experienced sudden bilateral blurred vision after receiving an ESI and required urgent ophthalmic interventions and follow-up care. The main clinical findings from this case showed that the patient had high intraocular pressure (IOP) that caused unexpected short-term vision loss. The symptom resolved after 3½ months without ophthalmic treatment. Conclusion: Clinicians should inform patients about the possibility of visual complications associated with pain procedures involving steroids. Among the high-risk groups with predisposing factors, such as uncontrolled hypertension and diabetes mellitus, routine eye tests that include measuring IOP prior to ESI should be recommended as a preventive measure. Alternative pain management therapies should be considered if possible. Comprehensive planning of patient care will also ensure safety and prevent unwanted outcomes, particularly with high-risk patients receiving steroids for pain procedures.
- Subjects
STEROID hormones; GLAUCOMA diagnosis; INTRAOCULAR pressure; PAIN management; MEDICAL protocols
- Publication
Ochsner Journal, 2015, Vol 15, Issue 1, p79
- ISSN
1524-5012
- Publication type
Article