Get ophthalmologist-reviewed tips and information about eye health and preserving your vision. Management of ocular hypertension: a cost-effectiveness approach from the Ocular Hypertension Treatment Study. Did you have raised markers at the outset?

There is nothing I'd like better than to reduce my pred dose, particularly as all my eye problems including high pressures and cataracts have occurred whilst on high doses.

This combination of treatment can …

Whether the years on Prednisolone starting at high doses (40mg) had any worsening effect is difficult to tell as the pressures were being treated with eye drops. What we do find is that sometimes the blood test results can lag behind the symptoms. This closes the tear duct off and helps reduce the amount of the drug circulating in the body. The GP can't do that but it is really about the only option.You can, after all, never have a definitive diagnosis of PMR, the rheumy saying "presumed PMR" means you have all the signs and symptoms and no evidence of any of the other causes of PMR. Good luck.It depends on the person - some people never have a problem at any dose, others will have problems at relatively low doses taken over a longer period of time.I'd look for a more helpful GP though - the fact your symptoms are returning at lower doses of pred seems fairly indicative of PMR that is still active so seeing another rheumy probably won't help UNLESS a rheumy would try you on "steroid sparing" medication to see if it helps you manage on a lower dose of pred. Can Pred Forte usage elevate intraocular pressure (IOP)? (He is a respected specialist in Glaucoma). If you are experiencing serious medical symptoms, seek emergency treatment immediately. Certainly no apologies necessary, Ronnie - I was just concerned because yo-yoing doses has been found to be so counter-productive for so many patients during the years I have been involved with PMR/GCA either as a patient or in my links with other patients via forums such as this and with the local support group, and I didn't want to think that this might be happening for you.It is true that many medical experts seem to believe that if our blood tests don't show raised inflammatory markers, we don't have active inflammation due to PMR/GCA.

Up to now, thankfully, the optic nerve remains healthy.I do hope that you will be as lucky with a second- opinion rheumatologist as I was with mine (the first was useless). All are intended to decrease eye pressure and, thereby, protect the optic nerve. Eye drops and oral medications are more likely to cause eye issues. Steroids can cause an increase in eye pressure. Though anyone can develop high eye pressure, African-Americans, people over age 40, and people with a family history of ocular hypertension or glaucoma are at greater risk.People with thinner-than-normal central corneal thickness measurements also may be at greater risk of ocular hypertension and glaucoma, according to researchers.If your eye doctor discovers you have ocular hypertension, he or she might prescribe eye drops to reduce your eye pressure.Because these medications can have side effects, some eye doctors choose to monitor your IOP and take action only if you show other signs of developing glaucoma.In some cases (or if eye drops are ineffective in reducing your IOP), your eye doctor might recommend other At a minimum, because of the increased risk for glaucoma with ocular hypertension, you should have your IOP measured at recommended intervals to monitor the condition. Redness, itching or swelling in and around the eyes could be signs of an allergic reaction. Also, how long after stopping Pred Forte will the IOP drop back to normal?Pred Forte (prednisolone acetate 1%) and other steroids (whether topical, inhaled, oral, intravenous, or injected) can elevate IOP. I was due to have an iridotomy (Laser hole in the iris to relieve pressure) after my local hospital ophthalmologist told me I had acute angle closure and to prevent glaucoma.

Thanks everyone for giving me your thoughts. Whether the years on Prednisolone starting at high doses (40mg) had any worsening effect is difficult to tell as the pressures were being treated with eye drops. Less well established is whether topical steroid eye drops can achieve high enough systemic concentrations to affect blood glucose levels. My consultant was annoyed because in each case my blood markers were normal and he will not accept that the GCA is active, despite the symptoms, and the fact that the higher dose seems to resolve the issues. This is more likely to happen in patients who are predisposed to developing glaucoma.

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