[net.med] from: Patricia Collins; re: Question on Prednisone: help!

pc@hplabsb.UUCP (Patricia Collins) (05/25/84)

	The use of prednisone is apparently indicated (in low dosages
	such as the 1/8 of 1% you mentioned) when the inflammation
	presents a high risk of eye damage.

	My friend was given prednisone for spinal arthritis (as an
	anti-inflammatory drug).  The dosage was fairly high (although
	I don't know the dosage) and was taken orally, not as drops.
	The drug caused a thickening of the vitreous humor, making it
	impossible for normal fluid circulation.  The pressure resulted
	in a partial retinal detachment.  Laser treatments were used
	to attempt to put small holes in the iris to facilitate fluid
	circulation.  Laser treatment for eyes is a little wierd because
	the eye naturally moves slightly.  Precise placement of holes
	is difficult.  After all of this, my friend had to have cornea
	surgery and now wears a contact lens.  The lens enables the
	eye to contribute to depth perception, but with the "healthy eye"
	covered, the damaged eye cannot detect shapes or position,
	only the presence or absence of highly contrasted objects.

	I have recently been prescribed an eyedrop with prednisone
	which I used for a couple of days.  (The prescription was not
	from my regular physician.)  When I called my doctor, she
	said that she did not like to prescribe that powerful an
	eyedrop except in cases where "nothing else works."  Incidentally,
	the eyedrops really didn't help.  It seems that I have some
	kind of allergy that shows up as an eye inflammation and
	no anti-inflammatory medicine seems to make a significant
	difference.

		You know, there is a risk with all medication.  It's
	probably good to be wary, and there is no reason why your
	physician can't take a few minutes on the phone to explain
	what the risks and benefits are for you in taking or not taking
	this medication.  Good luck!

	(I am sorry if I made you unnecessarily concerned.)

					Patricia Collins
					hplabs