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Nasal Spray + Oral Steroids Lead to Glaucoma in 19-Year-Old College Student
pine Webmaster of Pineapple
2014/11/28 08:39
508 topics published
TVBS Xu Jingyun November 28, 2014

People with allergic constitutions should pay close attention to the following information. A 19-year-old female college student, who suffered from both nasal and skin allergies, had been using nasal sprays and oral steroids for years. During a routine health checkup, she suddenly noticed a decline in her vision. Further examination revealed she had developed glaucoma, which affected both eyes. Domestic ENT specialists have found through research that individuals with allergic rhinitis have a 40% higher risk of developing glaucoma later in life compared to the general population. Therefore, it is recommended that patients with allergic rhinitis visit an ophthalmologist regularly every three to six months.

With significant temperature fluctuations, many allergy sufferers have started experiencing sneezing and runny noses again. However, those using steroid medications should undergo regular follow-ups. The 19-year-old student, who had an allergic constitution, had been using steroid medications for years, including nasal sprays and oral steroids for her skin allergies. Unexpectedly, during a checkup, she was found to have deteriorating vision. Medical examination confirmed she had glaucoma, with half of her right eye's visual field lost and only three-quarters remaining in her left eye.

Dr. Lü Dawen, Director of Ophthalmology at Tri-Service General Hospital, said, "When using steroids long-term, if intraocular pressure remains elevated, it can lead to glaucoma-related changes, so extra caution is needed."

Ophthalmologists explain that excessive steroids may cause cell swelling, blocking the outflow of aqueous humor in the eye. The buildup of fluid increases intraocular pressure. Because this pressure rises slowly, it is often difficult for individuals to notice immediately. Glaucoma typically affects middle-aged individuals in their 40s and 50s, making a 19-year-old's case quite rare. Domestic ENT specialists have analyzed health insurance data and found that patients with allergic rhinitis have a 40% higher chance of developing glaucoma compared to the general population.

Dr. Lü Dawen added, "Patients using nasal sprays or a combination of sprays and oral steroids should undergo ophthalmological examinations every three to six months, including intraocular pressure measurements and optic nerve evaluations."

Allergy specialists note that the dosage for controlling rhinitis is generally safe. To reduce allergy symptoms, it is advisable to minimize exposure to allergens and rinse the nasal passages daily. For those using medications, regular follow-ups are essential. Additionally, it is best to have optic nerve checks every three to six months to prevent medication-related harm.

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