Ocular Pressure in Steroid-treated Dermatology Patients
Study Details
Study Description
Brief Summary
Ocular hypertension and glaucoma are eye conditions associated with abnormally high fluid pressure in the eye (called intraocular pressure or IOP). If left untreated, the elevated IOP may eventually cause damage to the nerve of the eye and potential impairment of vision.
The use of certain drugs has been identified as a risk factor for raised IOP, including various forms of administration of corticosteroids. Corticosteroids can also lead to cataract, which is clouding of the lens in the eye that can affect vision.
In this research study, we would like to find out whether the use of corticosteroids in our dermatology clinic leads to raised IOP, in order to identify patients at risk and to allow them to be more closely monitored than others. It is important to identify those patients who have a corticosteroid-induced pressure rise early enough to prevent them from permanent glaucomatous visual loss.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Potent topical steroid-treated Patients treated with potent topical steroids |
Drug: Potent topical steroid
|
Superpotent topical steroid-treated Patients treated with superpotent topical steroids |
Drug: Superpotent topical steroid
|
Outcome Measures
Primary Outcome Measures
- Change in intraocular pressure from baseline [after 1, 2 and 3 months]
Measurements will be done at 28 (+/- 7 days) days, 56 (+/- 7 days) days, and 90 (+/- 7 days)days after initiation of topical steroids.
Secondary Outcome Measures
- Whether there is any clinical evidence of cataract at the final visit of the study. [After 1, 2 and 3 months]
Measurements will be done at 28 (+/- 7 days) days, 56 (+/- 7 days) days, and 90 (+/- 7 days)days after initiation of topical steroids.
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients on whom corticosteroid treatment is being introduced for a duration of at least 12 weeks
Exclusion Criteria:
-
pregnant women
-
patients already under glaucoma treatment
-
patients unable to give informed written consent or those unable to cooperate fully with the assessments
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospitals Coventry and Warwickshire NHS Trust | Coventry | West Midlands | United Kingdom | CV2 2DX |
Sponsors and Collaborators
- University Hospitals Coventry and Warwickshire NHS Trust
- University Hospital, Geneva
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- YM076710