[Unstable steroid-dependent hypotony-hypertony-syndrome (author's transl)].
The author reports an unusual case of a marked hypotony-syndrome without a recognizable cause, occurring after a previously operated chronic angle block glaucoma. On the assumption of a minimal cyclitis local corticosteroid therapy was commenced and lead to recovery of visual function. There were, however, problems in stabilizing intraocular tension both upwards and downwards. The steroids could not be withdrawn, even after 6 months, without the hypotony reappearing. On the other hand, the use of 2 drops of Decadron (dexamethasone) daily lead to tensions above 40 mmHg. The clinical situation is interpreted as a steroid-dependent hyposecretion-normosecretion in the presence of an occluded chamber angle.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D005260:Female; D005901:Glaucoma / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects; D008875:Middle Aged; D010211:Papilledema / Q000503:physiopathology; D011183:Postoperative Complications / Q000503:physiopathology*; D013577:Syndrome; D014606:Uveitis, Anterior / Q000188:drug therapy / Q000503:physiopathology; D014786:Vision Disorders / Q000188:drug therapy / Q000503:physiopathology*
D000305:Adrenal Cortex Hormones
Labiles steroidabhängiges Hypotonie-Hypertonie-Syndrom.