Abstract

Steroids are commonly used in the treatment of ocular allergies due to their potent anti-inflammatory effects. However, their misuse can lead to several serious complications, especially when used inappropriately or for extended periods. Some potential issues include: Increased intraocular pressure (IOP) leading to steroid induced glaucoma, Cataract formation, Delayed wound healing, Infection risk, and Dry eye syndrome. A 17-year-old male presented in eye opd with complains of diminution of vision in both the eyes for 4 months. Patient had been using topical eye drops containing dexamethasone along with ciprofloxacin for 4 years without follow up with the doctor for itching and redness in eyes. On examination his best corrected visual acuity was 5/60 and 2/60 for the right and left eye respectively. His intraocular pressure was 32 mm of hg and 36 mm of hg for the right eye and left eye respectively measured using Goldman applanation tonometer. On examination posterior subcapsular cataract was present and advanced glaucomatous cupping was seen in both the eyes. Patient underwent cataract extraction along with trabeculectomy in both the eyes.