Steroids, whether administered topically or systemically, can cause a significant elevation of intraocular pressure (IOP).
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This is more likely with topical steroids but patients who use steroids in the form of an inhaled medication or dermal creams are at risk. Steroid responders or patients more prone to this outcome include those who already have primary open-angle glaucoma, those who have a history of glaucoma in first degree relatives, high myopes, diabetics and those who are black.
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