Risk factors for steroid response among cataract patients

Abstract

No author has a financial or proprietary interest in any material or method mentioned.

Correction of myopic astigmatism with a foldable iris-claw toric phakic intraocular lens: Short-term follow-up

“…Steroid response is a possible explanation for this transient rise in IOP. In a recent study, Chang et al 27 found that younger patients with high myopia had a higher risk for a postoperative steroid response after uneventful cataract surgery.…”

Loteprednol Etabonate 0.5%/Tobramycin 0.3% Compared with Dexamethasone 0.1%/Tobramycin 0.3% for the Treatment of Blepharitis

“…In the US population using LE/T, mean IOP changed very little over time, with slight mean decreases noted at [16][17][18] and axial myopia. 19,20 These risk factors have been reported to be more prevalent among Asian versus non-Asian populations. 21 -…”

“…24 Further research into this phenomenon is warranted to confirm if there is a higher predisposition to steroid-induced IOP elevation in patients of Asian ethnicity. It is also worth noting that the average age of the China study population was about 14 years younger than that of the US study population, and younger age has also been associated with steroid-induced IOP elevations.- 20,25 Furthermore, different techniques were used to measure IOP in the US (applanation tonometry) and China (non-contact tonometry) studies. Non-contact tonometry has been shown to overestimate IOP relative to applanation tonometry in some studies, 26,27 while others have reported similar results between the two methods.…”

Iris-fixated phakic intraocular lens implantation after retinal detachment surgery: Long-term clinical results

“…Previous use of steroid eyedrops after RD surgery and high myopia are well known risk factors. Chang et al 26 found that younger patients with high myopia had a higher risk for postoperative steroid response after uneventful cataract surgery. Careful and frequent IOP monitoring is recommended in eyes with a previous RD.…”