Cataracts and Prednisone

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Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 6/27/2008 12:09 PM (GMT -7)   
I know it can be a risk for those of us who have taken it. I was reading that it can depend on how high the dosage, and if taken for longer periods of time.
 
My Mom was just diagnosed with a cataract this morning. Nothing to do with steroids (she has a short muscle in her eye since birth they believe caused it, that and age), but it made me start thinking about it. I'm going down to 10 mg this weekend, then after a week 5 mg, then 2.5 mg then stopping it. I've only been on it since early May, and was on a higher dose for about a month before tapering.
 
I guess I wonder what they mean by "taken for longer periods of time." Is that a few months? A year? Or more? I know I tend to worry about things, so it's probably just another one of those cases. Hard to not worry about all these risks though! Can't wait to be off this stuff!
~Jennifer
 
Diagnosed with Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Prednisone: tapered to 15 mg *eek*, Asacol, Questran, Toprol XL (for high blood pressure).


Celey
Veteran Member


Date Joined May 2007
Total Posts : 1284
   Posted 6/27/2008 12:54 PM (GMT -7)   
I know what you mean Jen... If you're really worried, you should see an eye doctor. (I know with as long as I've been on prednisone, I should probably schedule an appointment with an eye doctor myself)...
I think I am being picked on by life, sometimes. But's that okay. Life and I are good buddies... I know life doesn't mean no harm. It just is the way it is. I can accept that.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 6/27/2008 1:09 PM (GMT -7)   
The last time I was on Pred (started at 30 mg & only on it for about 3 mos) I happened to have a eye appt scheduled. They were concerned with the pressure on my eyes at the time. Then followed up on it for a few months and as soon as I was off the Pred my eye pressure went back to normal. I wouldn't stress yourself so much about the what if's. I think I am more concerned with the bone damage, but its not going to stop me from taking it if I flare. Its one of those necessary evils sometimes. JMHO
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


Dave D
Regular Member


Date Joined Aug 2005
Total Posts : 404
   Posted 6/27/2008 1:15 PM (GMT -7)   
I have taken Pred off and on for 15 years. In 2/06 I was having trouble seeing so I went to have the worst one removed. It was still there but my big problem was scleritis which is under control today. It took 1 1/2 years of Remicade and tons of Pred to treat it. In that length of time the "small" cataract had completely blinded me in that eye. It was so thick, ordinary optical equipment could not see through it to determine what magnification I needed.
So, there is no doubt about it: Prednisone over a period of time will do it. In big doses (>50mg) it will do it in hurry.
Dave D
Retired male in late 60's. Perforated Colon in 92. Diagnosed as Ulcerative Colitis in 93. Uncontrolled flareup in 97 dictated J-pouch surgery. 04 Capsule endoscopy diagnosed as Crohns not UC. Emergency surgery in 05 to remove lodged camera capsule. Biopsies positively diagnosed Crohns at that time. 12/06 Unsucessfully tried Naltrexone(LDN). 2/07 developed scleritis of the eye, tearing and detaching the retina. Treated with high doses of Prednisone. 6/07 Thought eye was healing and started taking Entocort counting on the residual (non-systemic portion) as treating the eye. Wrong. In October eye was not stabilized. 11/07 Started Remicade to try and reduce the ocular inflamation of the Scleritis since I had been requiring more and more Prednisone to keep the eye quiet. 12/07, retina tares and detaches again. Started Remicade every 4 weeks plus 20mg of Prednisone per day. Six months and seven infusions later, good eye is back to 20/14. Bad eye is 20/70. Had cataract surgery on June 05 on bad eye. Eye returned to a correctable visionary level of 20/40. Life looks good (literally) today.
Married with 4 grandkids.


indigosunrise
Regular Member


Date Joined Nov 2007
Total Posts : 497
   Posted 6/27/2008 2:30 PM (GMT -7)   

I have been off and on prednisone for the past 5-6 months for Scleritis of the eye.  My Internist, at the suggestion of my Opthalmologist, put me on Methotrexate, hoping that I can get away from the prednisone.  I was starting to taper off the prednisone--down to 10 mg a day--but my eye is flaring right back up and fast!  It is frustrating...I hate to increase the prednisone but I will most likely have to.

Anyhow, I see my eye doctor at least once a month.  The way things are going, I will most likely be on prednisone for a long time.  The good news is that my eye pressure is down--16 in each eye, so that is great!  He hasn't seen any cataracts or anything, but I get nervous about that as well!

It would be a great idea to follow up with your eye doctor and have your eyes checked.  I don't know when the cataracts start or anything like that, but I figure, better to get them checked anyways.

 

 


Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 6/27/2008 2:36 PM (GMT -7)   
I'm due to have my eyes checked here in September, so I'll make sure and get in there. I'm not too concerned since it doesn't seem like I've been on it all that long. Makes you worry about down the road, as I'm sure I'll be on it again in the future. But it also sounds like we are at risk any way for these types of things, with the inflammation issues that can occur with our eyes.

Thanks for all the input everyone!
~Jennifer
 
Diagnosed with Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Prednisone: tapered to 15 mg *eek*, Asacol, Questran, Toprol XL (for high blood pressure).


Dave D
Regular Member


Date Joined Aug 2005
Total Posts : 404
   Posted 6/27/2008 4:31 PM (GMT -7)   
indigosunrise,
I spent 1 1/2 yrs trying to beat scleritis. The only thing I gained was 60 lbs of weight. I finally found a good opthmalagist out of Miami that showed me the way, after two locals had given up. Otherwise, I would probably be totally blind by now. The key was Remicade.
PM me if you need more info.
Dave D
Retired male in late 60's. Perforated Colon in 92. Diagnosed as Ulcerative Colitis in 93. Uncontrolled flareup in 97 dictated J-pouch surgery. 04 Capsule endoscopy diagnosed as Crohns not UC. Emergency surgery in 05 to remove lodged camera capsule. Biopsies positively diagnosed Crohns at that time. 12/06 Unsucessfully tried Naltrexone(LDN). 2/07 developed scleritis of the eye, tearing and detaching the retina. Treated with high doses of Prednisone. 6/07 Thought eye was healing and started taking Entocort counting on the residual (non-systemic portion) as treating the eye. Wrong. In October eye was not stabilized. 11/07 Started Remicade to try and reduce the ocular inflamation of the Scleritis since I had been requiring more and more Prednisone to keep the eye quiet. 12/07, retina tares and detaches again. Started Remicade every 4 weeks plus 20mg of Prednisone per day. Six months and seven infusions later, good eye is back to 20/14. Bad eye is 20/70. Had cataract surgery on June 05 on bad eye. Eye returned to a correctable visionary level of 20/40. Life looks good (literally) today.
Married with 4 grandkids.

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