Guide To The Side Effects Of Steroids

Blurred Vision

Blurred vision could develop in patients who take oral steroids. In the short term, patients might have elevated eye pressure, a condition known as glaucoma. This condition can cause hazy and blurry vision in the later stages, and patients might also see colored circles when looking at bright lights. If left untreated, this condition can lead to blindness. Medications can be given to reduce eye pressure, and surgery may be needed to remove accumulated fluid. This can be done with conventional methods or laser-assisted devices. Patients who take oral steroids long-term are at risk of developing cataracts. These occur when the lens of the eye becomes cloudy, and this can trigger blurred vision, double vision, sensitivity to light, and eye pain. Surgery is the only way to remove cataracts, and this involves replacing the cloudy lens with an artificial one. Patients on corticosteroids should see an eye doctor at least once a year for a complete eye examination, and individuals with certain underlying conditions may need to have an examination more frequently. Patients who notice any changes in their vision should see an eye doctor urgently.

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Acne

Topical steroid use could trigger or worsen acne for some individuals. Acne caused by steroids typically develops on the chest, and it might also appear on the patient's back, arms, neck, or face. Red, painful lumps known as nodules could form, and patients might notice cyst-like swellings called pseudocysts. Pustules (white or yellow spots) may be present as well. If patients scratch or pick at acne, the skin at the site of recently healed spots could darken, and scars may form. The treatment for acne caused by corticosteroids usually includes topical treatments. In addition, oral antibiotics such as tetracycline and doxycycline are given to patients with severe acne from steroids and to those who have acne scars from the steroids. It may take four to eight weeks of antibiotic use for the skin to heal, and some patients need to continue taking antibiotics for three to six months.