Anterior uveitis and severe keratoconjunctivitis sicca in a patient with steroid-induced ocular hypertension - Case Report

  • Fidan A. Aghayeva
  • Ines Lanzl
Keywords: dry eye, intraocular pressure, keratoconjunctivitis sicca, ocular hypertension, uveitis

Abstract

Severe dry eye syndrome and anterior uveitis are known as adverse effects of different intraocular pressure (IOP) lowering drops. We report a case of acute anterior uveitis and severe keratoconjunctivitis sicca associated with combined IOP-lowering therapy including GANFORT® and SIMBRINZA® in a patient with steroid-induced ocular hypertension. 360-degree selective laser trabeculoplasty (SLT) was performed in both eyes as an IOP-lowering treatment. The transition from combined IOP-lowering therapy to monotherapy and significant reduction of ocular side effects combined with improved ocular surface as well as patient’s quality of life. The appropriate treatment regimen to reduce elevated IOP should be individualized, considering multiple topical adverse effects related to glaucoma treatment. SLT is a proven clinically effective procedure and a valuable potential alternative as primary or adjunct treatment that should be definitely considered in patients with ocular hypertension and severe intolerance to topical medications.

Author Biographies

Fidan A. Aghayeva

MD (Corresponding Author), Technical University of Munich, Munich, Germany

Chiemsee Eye Clinic, Prien on Chiemsee, Germany

Ines Lanzl

MD, Technical University of Munich, Munich, Germany

Chiemsee Eye Clinic, Prien on Chiemsee, Germany

Published
2024-05-18
How to Cite
Fidan A. Aghayeva and Ines Lanzl (2024) “Anterior uveitis and severe keratoconjunctivitis sicca in a patient with steroid-induced ocular hypertension - Case Report”, Ophthalmology Cases & Hypotheses, 5(1). doi: 10.30546/2788-516X.2024.019.0657.
Section
Articles