Ace the NBEO Pharmacology Exam 2026 – Dive Deep and Dose Up Your Success!

Topical steroids are known for their ability to reduce inflammation and manage conditions like allergic reactions and other eye disorders. While they offer significant benefits in treating various ocular conditions, they also come with potential side effects that have been well-documented.

When we consider common side effects of topical steroid usage, increased intraocular pressure leading to glaucoma is a primary concern. Prolonged use can also contribute to the development of posterior subcapsular cataracts (PSC), which can affect vision through changes in the lens of the eye. Additionally, the immunosuppressive properties of steroids can elevate the risk of secondary infections, as they may impair local immune responses.

In contrast, corneal ulceration is not a typical side effect associated with the use of topical steroids. In fact, steroids might be utilized to treat certain cases of corneal inflammation and are generally not known to cause ulceration directly. It’s important to differentiate between the impacts of topical steroids and the conditions they are designed to treat.

Understanding these side effects is crucial for clinicians when prescribing topical steroids, as they must weigh the benefits against the potential risks, particularly in patients who may already be predisposed to conditions like glaucoma or cataracts.