Risk factors for developing glaucoma while being treated with steroids:
(1) presence of primary open-angle glaucoma in patient or a first-degree relative
(2) age < 10 years of age
(3) diabetes mellitus
(4) prolonged corticosteroid therapy
(5) high dose steroid therapy
(6) high myopia
(7) history or current evidence of sensitivity to steroids (increase in intra-ocular pressure >= 6 mm Hg)
Recommendations to reduce the risk:
(1) Use alternative anti-inflammatory therapy when possible.
(2) Use the lowest possible steroid concentration.
(3) Treat a patient with steroids for the shortest possible period.
(4) Write prescriptions for limited amounts to minimize unmonitored use.
(5) Monitor the patient during therapy.
