Prolonged use of steroids linked to risk of glaucoma, AIIMS docs warn

New Delhi: Prolonged use of steroid-based inhalers for respiratory conditions like asthma and bronchitis, continuous application of nasal sprays for allergies, and steroid-containing skin creams for allergic reactions and cosmetic purposes may lead to

glaucoma

, doctors at AIIMS have observed.
They have highlighted the issue and advised

regular eye check-ups

, indicating that early identification significantly improves the chances of vision preservation. Glaucoma is a persistent eye condition that can damage the optic nerve, potentially causing vision loss or blindness.
Dr Tanuj Dada, professor-in-charge of the glaucoma unit, emphasised the significance of timely detection. "Glaucoma is known as the thief of vision because it has no symptoms until significant damage occurs. After 40, regular check-ups every 1-2 years are essential, even if your vision seems fine."
Dr Dada also cautioned against steroid misuse for children who are often prescribed steroid eye drops by unqualified persons, resulting in glaucoma. He explained that they frequently encountered young children with eye allergies, particularly those from Rajasthan affected by sand-related allergic reactions. These children, when experiencing eye irritation and redness, often get medicines from chemists or seek assistance from unqualified practitioners. Although the immediate allergy symptoms and redness may subside, some children later develop glaucoma.

Students sustaining eye injuries from sports equipment such as balls or shuttlecocks during playground activities should also undergo regular eye examinations as these injuries could progress to glaucoma after 10-20 years.
The doctor also warned against the use of skin whitening creams that mostly contain steroids.
Early-stage detection significantly increases the chances of preserving vision. This service is accessible at every govt-run hospital, said doctors.
Emphasising the need for lifelong care, Dr Dada pointed out, "Once diagnosed, you must use eye drops for life — stopping treatment can lead to further vision loss. New laser treatments and surgeries can help, but unlike cataract surgery, glaucoma surgery only preserves remaining vision; it cannot restore what is lost."
According to doctors, the AIIMS research also linked stress to glaucoma, with meditation and breathing exercises showing potential benefits.
Dr Praveen Vashist, professor and officer-in-charge of community ophthalmology, highlighted the need for nationwide screening. "Most people with glaucoma don't know they have it. We need more awareness and screening programs at the primary care level."
AIIMS operates 21 vision centres offering AI-based glaucoma detection tests, he noted, underlining the need to expand such facilities across India. He also emphasised the importance of adherence to medication, "Putting more than one drop at a time is wasteful — regularity is the key."