Steroid eye drops are commonly prescribed to reduce eye inflammation, redness, itching and discomfort. While they can be effective when used under medical supervision, using them without an eye specialist’s advice or for longer than recommended can sometimes cause complications.
One important concern is an increase in intraocular pressure (IOP). In some people, prolonged or inappropriate use of steroid eye drops can raise eye pressure and may contribute to steroid-induced glaucoma.
Why Can Steroid Eye Drops Increase Eye Pressure?
Steroids can interfere with the natural drainage of fluid inside the eye. When this fluid does not drain properly, pressure can build up inside the eye.
The problem is that increased eye pressure may develop without noticeable symptoms. A person may continue using the drops because they feel that their redness or irritation is improving, while the pressure inside the eye may be gradually increasing.
Who Should Be More Careful?
People with a history of glaucoma, a family history of glaucoma, diabetes or previous reactions to steroid medications may need closer monitoring. However, anyone using steroid eye drops should follow the prescribed dosage and duration.
Never start or continue steroid eye drops simply because they were prescribed to you or someone else in the past.
What Should You Do?
If you have been using steroid eye drops for an extended period, do not stop or continue them on your own without professional guidance. An eye specialist can examine your eyes and, when necessary, check your eye pressure.
Your eyes may feel fine even when the pressure is rising. Regular eye examinations can help detect problems early.