EXTENSIVE VISUAL-LOSS WITH TOPICAL FACIAL STEROIDS

Steroid creams applied topically to the skin are routinely used in the treatment of many dermatoses. Their use on the face in severe atopic eczema is relatively common. We report a series of three patients who whilst using topical facial steroids developed advanced glaucoma. A fu rther two cases of ocular hypertension secondary to topical facial ste roids are also described. This is the first series of cases to be repo rted demonstrating the potentially blinding complications of topical f acial steroids. Recommendations are made with regard to screening such patients for glaucoma.