{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T18:47:02Z","timestamp":1761677222620,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,8,16]]},"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>A man in his 70s on regular follow-up with an ophthalmologist for 10 years presented with blurry vision in his right eye for 4\u2009days. He was diagnosed with elevated intraocular pressure (IOP) bilaterally 18 months earlier and treated with antiglaucoma eye-drops. On direct questioning, he admitted to using fixed combination tobramycin 0.3%\/dexamethasone 0.1% eye-drops frequently to relieve ocular redness and discomfort in both eyes for 3.5 years without his ophthalmologist\u2019s knowledge. Examination disclosed markedly elevated IOP, advanced optic disc cupping and tunnel vision due to steroid-induced glaucoma bilaterally. After cessation of the eye-drops and 2\u2009weeks of antiglaucoma therapy, his IOP returned to normal and his visual field remained stable for 4\u2009years.<\/jats:p>\n               <jats:p>Our case highlights the danger of habitual self-treatment of prescription medications containing corticosteroids and the importance of taking a detailed medication history in the diagnosis and management of steroid-induced glaucoma.<\/jats:p>","DOI":"10.1136\/bcr-2023-254709","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T12:25:36Z","timestamp":1693830336000},"page":"e254709","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Steroid-induced glaucoma: an avoidable cause of irreversible blindness"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8667-3991","authenticated-orcid":false,"given":"Benjamin H K","family":"Teo","sequence":"first","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-0318","authenticated-orcid":false,"given":"Jonathan T W","family":"Au Eong","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7373-8925","authenticated-orcid":false,"given":"Kah Guan","family":"Au Eong","sequence":"additional","affiliation":[{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore"},{"name":"International Eye Cataract Retina Centre, Mount Elizabeth Medical Centre and Farrer Park Medical Centre, Singapore"},{"name":"Department of Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"2025082722120122000_16.9.e254709.1","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.survophthal.2020.01.002","article-title":"Steroid-induced glaucoma: epidemiology, pathophysiology, and clinical management","volume":"65","author":"Roberti","year":"2020","journal-title":"Surv Ophthalmol"},{"key":"2025082722120122000_16.9.e254709.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-008-0800-0"},{"key":"2025082722120122000_16.9.e254709.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.exer.2008.10.004"},{"key":"2025082722120122000_16.9.e254709.4","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0137913","article-title":"The cost-effectiveness analysis of Teleglaucoma screening device","volume":"10","author":"Thomas","year":"2015","journal-title":"PLoS One"},{"key":"2025082722120122000_16.9.e254709.5","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10028-1226"},{"key":"2025082722120122000_16.9.e254709.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(64)92500-0"},{"key":"2025082722120122000_16.9.e254709.7","first-page":"198","article-title":"Intraocular pressure response to topical corticosteroids","volume":"4","author":"Becker","year":"1965","journal-title":"Invest Ophthalmol"},{"key":"2025082722120122000_16.9.e254709.8","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1016\/0002-9394(66)92551-7","article-title":"High myopia and primary open-angle glaucoma","volume":"62","author":"Podos","year":"1966","journal-title":"Am J Ophthalmol"},{"key":"2025082722120122000_16.9.e254709.9","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1966.03850010479003"},{"key":"2025082722120122000_16.9.e254709.10","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1967.00980030716005"},{"key":"2025082722120122000_16.9.e254709.11","doi-asserted-by":"crossref","unstructured":"Dada T , Nair S , Dhawan M , et al . 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