CATARACT ASSOCIATED WITH CHRONIC USE OF CORTICOID: CASE REPORT

Authors

DOI:

https://doi.org/10.47820/recima21.v4i5.3245

Keywords:

Cataracts are a condition in which

Abstract

Cataracts are a condition in which the lens progressively loses its transparency, being one of the main reversible causes of blindness in the world and representing an important public health problem. Among the risk factors, the chronic use of corticosteroids stands out. The aim of this study was to present a case report of bilateral posterior subcapsular cataract associated with chronic use of topical corticosteroids. This is a descriptive observational study, case report type, of a patient diagnosed with rosacea who presented ocular involvement and was attended at a private ophthalmology clinic in Rio Branco-Acre. Visual acuity and biomicroscopy revealed a significant reduction in vision in both eyes and the presence of bilateral posterior subcapsular cataracts, attributed to the chronic use of corticosteroids. Therefore, a surgical procedure was indicated for visual rehabilitation. Thus, it is extremely important to properly guide patients about the risks of self-medication and the need for regular follow-up in cases of chronic use, in order to prevent damage caused by improper use.

Downloads

Download data is not yet available.

Author Biographies

  • Juliana Benevides Fontes da Silva

    Acadêmica do curso de Medicina do Centro Universitário Uninorte, Rio Branco, AC, Brasil.

  • Gustavo Pontes Marques da Silva

    Médico oftalmologista especialista em cirurgia de catarata e cirurgia refrativa, Rio Branco, AC, Brasil.

  • Ruth Silva Lima da Costa

    Doutoranda ENSP/FIOCRUZ. Centro Universitário Uninorte.

  • Ariane Castro Mendes Leão

    Médica, residente em Oftalmologia pelo Hospital Oftalmológico Velloso, Docente do Centro Universitário Uninorte, Rio Branco, AC, Brasil.

References

ABCCR. Associação Brasileira de Catarata e Cirurgia Refrativa. O que é catarata. Rio de Janeiro 2021. Disponível em: https://brascrs.com.br/publico/o-que-e-catarata/. Acesso em 01/05/2023.

ALMANÇA, Ana Carolina Dalarmelina; JARDIM, Stella Pereira; DUARTE, Suélen Ribeiro Miranda Pontes. Perfil epidemiológico do paciente submetido ao mutirão de catarata. Revista Brasileira de Oftalmologia, v. 77, p. 255-260, 2018.

ARIETA, Carlos Eduardo Leite. Cristalino e Catarata. Série Oftalmologia Brasileira. Conselho Brasileiro de Oftalmologia (CBO). p. 34. Rio de Janeiro 2018.

BONAMIGO, Renan Rangel et al. Fatores associados à rosácea em amostras populacionais do sul do Brasil: análise de estudos casos-controles. Anais Brasileiros de Dermatologia, v. 83, p. 419-424, 2008.

BLACK, Rachel J. et al. The association between systemic glucocorticoid use and the risk of cataract and glaucoma in patients with rheumatoid arthritis: a systematic review and meta-analysis. PLoS One, v. 11, n. 11, p. e0166468, 2016.

BRASIL. Ministério da Saúde. Biblioteca virtual em saúde. 13/12- Dia do Cego. Disponível em: https://bvsms.saude.gov.br/13-12-dia-do-cego-4/ Acesso em: 02/05/2023.

JAMES, Eric R. The etiology of steroid cataract. Journal of Ocular Pharmacology and Therapeutics, v. 23, n. 5, p. 403-420, 2007.

JINAGAL, Jitender et al. Systemic toxicity of topical corticosteroids. Indian journal of ophthalmology, v. 67, n. 4, p. 559, 2019.

KAČMAŘ, J.; CHOLEVÍK, D. Corticosteroid Induced Posterior Subcapsular Cataract. Ceska a Slovenska Oftalmologie: Casopis Ceske Oftalmologicke Spolecnosti a Slovenske Oftalmologicke Spolecnosti, v. 74, n. 6, p. 226-232, 2019.

KANSKI: Oftalmologia clínica: uma abordagem sistemática. 9ª. Ed. Rio de Janeiro: Guanabara Koogan, 2022.

LEE, Seung Won et al. Cataract and glaucoma in Korean children with chronic glomerulonephritis receiving systemic corticosteroid treatment. Acta ophthalmologica, v. 88, n. 8, p. e344-e345, 2010.

PINTO, Bianca Carollyne Martins et al. Corticoterapia: manifestações oculares adversas. Revista Eletrônica Acervo Saúde, v. 12, n. 11, p. e4785-e4785, 2020.

RUIZ-LOZANO, Raul E. et al. Three types of cataract associated with atopic dermatitis and chronic topical corticosteroid use: A case report. Dermatologic therapy, v. 34, n. 1, p. e14600, 2021.

SOCIEDADE BRASILEIRA DE DERMATOLOGIA (SBD). Rosácea. Disponível em: https://www.sbd.org.br/dermatologia/pele/doencas-e-problemas/rosacea/62/. Acesso em: 02/05/2023.

TALEB, Alexandre; ÁVILA, Marcos; MOREIRA, Hamilton. As condições de saúde ocular no Brasil-2009. In: As condições de saúde ocular no Brasil-2009. 2009. p. 122-122.

VALENZUELA, Carla V. et al. Intranasal corticosteroids do not lead to ocular changes: a systematic review and meta‐analysis. The Laryngoscope, v. 129, n. 1, p. 6-12, 2019.

YANOFF, M; DUKER, J. S. Oftalmologia. 5ª. Edição. Rio de Janeiro: Editora Guanabara Koogan. P. 370-371, 2022.

Published

27/05/2023

How to Cite

CATARACT ASSOCIATED WITH CHRONIC USE OF CORTICOID: CASE REPORT. (2023). RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(5), e453245. https://doi.org/10.47820/recima21.v4i5.3245