title: Under pressure: an ocular complication of oral corticosteroid therapy.
abstract: We describe the case of a patient with steroid sensitive nephrotic syndrome who is admitted with headaches, eye pain and reduced visual acuity. Despite thorough investigation no cause for the pain is identified. On a subsequent admission for recurrence of her symptoms her intraocular pressures are measured, which are markedly raised. Immediate medical treatment, as well as prompt weaning of her steroid therapy avoided the need for trabeculectomy surgery. We review this case and the literature surrounding this condition in children.
authors.affiliation: Department of Paediatric Nephrology, Bristol Royal Hospital for Children, Bristol, UK. lucyfitzgerald@doctors.org.uk
authors.forename: Lucy Anne
authors.initials: LA
authors.lastname: Fitzgerald
authors.forename: Jan
authors.initials: J
authors.lastname: Dudley
authors.forename: Carol
authors.initials: C
authors.lastname: Inward
authors.forename: Jane
authors.initials: J
authors.lastname: Tizard
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects* / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000187:drug effects*; D009404:Nephrotic Syndrome / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000305:Adrenal Cortex Hormones