I have steroid induced open angle glaucoma diagnosed in June this year. I have had an autoimmune condition called Relapsing Polychondritis for 20 years and this has affected my eyes resulting in overuse of steroids. My dilemma is I need to use a maintenance steroid drop (dexafree)twice a day in each eye to keep the episcleritis at bay (doesn`t always work). This of course increases pressure. My ophthalmologist is happy to go along with this for now since his introduction of Trusopt drops twice a day has reduced eye pressures from 19 to 13 in both. I am also on fixapost once a day and have been for 20 years. I also have severe dry eyes which require other drops.
When I have an episcleritis `flare` I have to go on a tapering dose of the steroid eye drops over a week or so, this is very worrying now I have glaucoma, but the only alternative is to go back on DMARDS and my ophthalmologist has mentioned it briefly. I am reluctant to though due to past experience of becoming neutropenic. I don`t feel that for the rare- ish occasions i have an eye flare that it is worth taking DMARDS all the time with all the side affects that come with them.
Does anyone else have a similar problem/experience they could share with me? Many thanks