Topical steroid therapy uses corticosteroid eye drops or ointments to reduce inflammation in conditions such as uveitis, keratitis, post‑operative inflammation, and severe allergic eye disease. These medicines are powerful and must be used under supervision.
Benefits
Steroids rapidly decrease redness, pain, swelling, and immune‑mediated tissue damage, protecting vision in many inflammatory disorders. They are often essential after intraocular surgery to control healing responses.
- Dosing is tailored to disease severity and then tapered gradually
- Different strengths and formulations are chosen for surface versus intraocular disease
- Combination steroid-antibiotic drops may be used after surgery or in some lid conditions
- Abrupt cessation can lead to rebound inflammation in certain cases
Risks and Monitoring
Potential side effects include raised intraocular pressure, cataract formation, delayed wound healing, and increased susceptibility to infection. Regular follow‑up is crucial, especially with longer courses.
- Pressure checks and optic nerve assessments are recommended during prolonged use
- Patients should not use leftover steroid drops without medical advice
- Herpetic keratitis can worsen dramatically with inappropriate steroids
- Benefits often outweigh risks when therapy is correctly indicated and monitored
