Prolonged use of steroid-based inhalers for respiratory issues like asthma and bronchitis, frequent application of nasal sprays for allergies, and steroid-containing skin creams for allergic reactions or cosmetic purposes can increase the risk of glaucoma, reported The Times of India quoting AIIMS doctors.

Experts have stressed the importance of regular eye check-ups, highlighting that early detection significantly improves the chances of preserving vision. Glaucoma, a chronic eye condition that damages the optic nerve, can eventually lead to vision loss or blindness if left untreated.

The ‘silent thief of vision’

Dr. Tanuj Dada, professor-in-charge of the glaucoma unit at AIIMS, told ToI the importance of timely diagnosis. "Glaucoma is known as the thief of vision because it has no symptoms until significant damage occurs. After 40, regular check-ups every 1-2 years are essential, even if your vision seems fine," he advised.

Steroid misuse and eye risks in children

Dr. Dada warned against the misuse of steroid eye drops, particularly in children. He noted that unqualified practitioners or chemists often prescribe these drops to children experiencing eye allergies or irritation. This practice is common in regions like Rajasthan, where sand-related allergies are prevalent. While steroid drops may temporarily reduce redness and discomfort, some children later develop glaucoma.

Injury-related glaucoma risks

Children sustaining eye injuries from sports activities involving balls or shuttlecocks should also undergo regular eye exams, as such injuries can develop into glaucoma even after 10-20 years.

Steroid-based skin cream Warning

Dr. Dada also cautioned against skin-whitening creams that commonly contain steroids, stressing their potential to harm eye health.

AIIMS doctors highlighted that early-stage detection offers the best chance to preserve vision. This service is available at all government hospitals.

Dr. Dada further stressed the need for lifelong care once glaucoma is diagnosed. "Once diagnosed, you must use eye drops for life — stopping treatment can lead to further vision loss. New laser treatments and surgeries can help, but unlike cataract surgery, glaucoma surgery only preserves remaining vision; it cannot restore what is lost," he explained.

AIIMS researchers have also linked stress to glaucoma, noting that meditation and breathing exercises may help manage the condition.

Dr. Praveen Vashist, professor and officer-in-charge of community ophthalmology, emphasised the need for wider screening efforts. "Most people with glaucoma don't know they have it. We need more awareness and screening programs at the primary care level," he said.

AIIMS currently operates 21 vision centres equipped with AI-based glaucoma detection tests, and Dr. Vashist highlighted the importance of expanding such facilities across India. He also emphasised the correct use of medication, advising, "Putting more than one drop at a time is wasteful — regularity is the key."

With inputs from ToI