This guideline last updated 07/05/2022 9:31:52

Differential diagnosis

• Ocular hypertension
• Secondary glaucoma
• Primary open angle glaucoma

Possible management by Optometrist

Treatment

• Discuss with the prescribing clinician the possibility of discontinuing steroid therapy
  • PoM If not possible, patient may need topical anti-glaucoma treatment (discuss with treating clinician)

Advice

• Acute response may resolve within a few days of cessation of steroid therapy
• Chronic steroid response usually resolves in 1-4 weeks

Management Category

• Refer to ophthalmology

Possible management by Ophthalmologist

• Alternative therapy less likely to cause raised intra-ocular pressure
• Anti-glaucoma management whilst still on topical steroids
• Prolonged medical therapy or surgical intervention, including laser if pressure does not fall on reducing steroids