Doctors at AIIMS have raised an alarm over the misuse of steroid-based medicines such as inhalers, nasal sprays, and skin creams, cautioning that prolonged or unmonitored use could silently lead to glaucoma and irreversible vision loss. They emphasized the importance of regular eye screenings and public awareness about the hidden risks of over-the-counter steroid products.

Key Highlights
Steroid Use in Common Medicines

• Prolonged use of steroid-based inhalers for asthma, nasal sprays for allergies, and skin creams for cosmetic or allergy purposes increases the risk of glaucoma.

• Steroid eye drops, often prescribed by unqualified practitioners, particularly in children, heighten susceptibility to optic nerve damage.

• Steroid-containing skin-whitening creams may negatively impact eye health if used indiscriminately.

Glaucoma Risks and Early Detection

• Glaucoma, referred to as the "silent thief of vision," presents no symptoms until significant damage has occurred.

• Regular eye check-ups every 1-2 years after age 40 are crucial for early detection and prevention.

• Injuries from sports activities like cricket or badminton can also lead to glaucoma years later, necessitating follow-up checks.

Statements from AIIMS Experts

•  Dr. Tanuj Dada, Professor-in-Charge of the Glaucoma Unit at AIIMS, stressed, "Once diagnosed, glaucoma requires lifelong treatment. Unlike cataract surgery, glaucoma surgery can only preserve remaining vision—it cannot restore what's lost."

• He further warned, "Misuse of steroid eye drops, especially in children, can trigger glaucoma later in life. We often see cases from regions like Rajasthan where sand-related allergies are common."

• Dr. Praveen Vashist, Professor and Officer-in-Charge of Community Ophthalmology, added, "Most people with glaucoma are unaware they have it. Wider screening at the primary care level is essential. AIIMS operates 21 vision centres with AI-based detection facilities, but more such centres are needed nationwide."

Doctors urge the public to refrain from self-medicating with steroid-based products and to consult qualified medical professionals. Emphasis is also placed on lifelong care post-diagnosis, along with stress management practices such as meditation, which researchers suggest may help manage glaucoma.