Archive for category Ophthalmology

Steroids and High Intraoccular Pressure – Part III “Getting Great Results”

With a situation like high intraoccular eyeball pressure, you can expect to be checking the eyeball pressure and condition of the optic nerve and retina surface every 30 days to assess the effectiveness of the treatments. Ideally, there is no damage from the steroid use and treatments are bringing the eyeball pressure down into the normal range. A normal pressure is considered between 10 and 20 millimeters mercury (mmHg) of pressure. At the peak of steroid use we were seeing 42 and 44 mmHg which was putting her into the danger zone for potential optic and retina damage. After 5 months off steroids, her pressure was down to 14 and 15 mmHg consistently for 60 days. This made everyone sigh with relief. The numbers came down in this order: 44, 32, 29, 24, 22, 19, 18, 16, 14. So you can see that the combination of 2 prescription eyedrops, homeopathic remedies, Epsom salt baths, osteopathic and nutritional therapy all contributed to a steady progression of better eyeball pressure.

Current Strategy: Today, at 19 months of age, exactly 13 months since starting the steroids and 5 months off them, her eyeball pressure is at 14 mmHg and we are hoping for 12 at next testing. We continue to administer the two Rx eyedrops twice daily and the homeopathic Prednisonium 6X once a week and continue to see greater cognitive/physical milestone developments emerge. Once we reach either a 3rd consistent measure of 14 mmHg or a 12 mmHg pressure we can discontinue 1 of the Rx eyedrops. A 30 day follow-up to removing that drug will reveal if the eye is stable at 12-14 mmHg at which point we would remove the last Rx eyedrop or if the eye pressure goes up we will return to the drug we eliminated. The homeopathic remedy will continue until we feel that all the side effects to steroids has been reversed in her body.

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Steroids and High Intraoccular (inside the eyeball) Pressure – Part I “Discovery”

Swollen Cheeks (Edema) Due To Prednisone

Swollen Cheeks (Edema) Due To Prednisone

Our daughter was on steroids for nine months for Infantile Spasms (IS). During this time she experienced steroid-typical edema –high water pressure in her body, especially in her eyeballs which is dangerous because the tissues in the eyes, such as the optic nerve, be damaged during this time. High eyeball pressure is associated with baby glaucoma and is serious business. If left untreated, a baby can have serious damage to the eyes leading to poor vision or to loss of vision. Even mild vision loss is serious as it can lead to developmental delays in both social and education learning.

Unfortunately, we didn’t have a base line for her eye pressure prior to the discovery of seizures. Why would we? She was five and a half months old when we finally figured out she has IS and most babies don’t get eye tests until they are older unless they have a noticable problem with their eyes at birth, for example. Without a baseline measurement, we didn’t know if she was born with high eyeball pressure or if it was a side affect of Prednisone. Our bet was on the drugs. So was Dr. Granet’s who taught us, “Never bet against the child; you’ll always lose.”

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