[Posterior subcapsular cataract in a case of ulcerative colitis treated with corticosteroid enema].
We report the case of a 65-year-old patient suffering from a long-term ulcerative colitis treated with corticosteroid enema and presenting a bilateral posterior subcapsular cataract. As far as we know, this is the first case report of steroid-induced cataract after intrarectal corticosteroid use. Alternative hypotheses concerning the mechanism of cataract formation are suggested. This case report should warn ophthalmologists and gastroenterologists about the cataractogenic effects of corticosteroid enema to ensure that information is provided for patients suffering from ulcerative colitis.
Service d'Ophtalmologie, CHNO des Quinze-Vingts, 28, rue de Charenton, 75012 Paris.
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F
Patteau
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Bourcier
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Naacke
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H
Allahdadi
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V
Borderie
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Laroche
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000009:adverse effects*; D001623:Betamethasone / Q000008:administration & dosage / Q000009:adverse effects*; D002386:Cataract / Q000139:chemically induced* / Q000175:diagnosis; D004733:Enema / Q000009:adverse effects*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D006854:Hydrocortisone / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D011239:Prednisolone / Q000008:administration & dosage / Q000009:adverse effects*; D011350:Proctocolitis / Q000188:drug therapy*; D013997:Time Factors; D014792:Visual Acuity
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D001623:Betamethasone; D011239:Prednisolone; D006854:Hydrocortisone