Does Steroid Use Affect Eye Pressure in IVF Patients? - Ophthalmology

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The use of steroids, particularly in the context of in vitro fertilization (IVF), raises important considerations regarding eye pressure and overall ocular health, especially for patients with pre-existing conditions such as high myopia. Steroids are known to potentially increase intraocular pressure (IOP), which can be a concern for individuals who are already at risk for glaucoma or have a history of elevated eye pressure.

In your case, you mentioned that your baseline eye pressure has been around 19-20 mmHg, which is generally considered within the normal range, but it is important to note that individual responses to steroids can vary. Some patients may experience a significant increase in IOP, while others may not see any change at all. The risk of elevated IOP is particularly pertinent for those with high myopia, as they may have a predisposition to glaucoma due to structural changes in the eye.

Given that you are prescribed steroids (Kang Su Long 5 mg, twice daily) for a duration of approximately 7-8 weeks during your IVF treatment, it is prudent to monitor your eye pressure closely. While short-term use of steroids may not always lead to significant increases in IOP, the cumulative effect over several weeks could be more pronounced. Therefore, it would be advisable to inform your obstetrician-gynecologist about your concerns regarding steroid use and its potential impact on your eye health. They may coordinate with your ophthalmologist to ensure that your eye pressure is monitored regularly during this period.

Regarding your previous eye condition, where you experienced a rupture of the Bruch's membrane and subsequent scarring in the macular area, the use of steroids could also have implications. Steroids can affect the healing process and may influence the stability of your existing eye condition. It is essential to keep your ophthalmologist informed about your steroid use, as they may recommend additional follow-up appointments to assess both your IOP and the condition of your retina during the steroid treatment.

In summary, while the short-term use of steroids may not always lead to significant changes in eye pressure, the potential risks associated with your specific ocular history warrant careful monitoring. Regular eye examinations during your steroid treatment will help ensure that any changes in IOP or retinal health are promptly addressed. It is always best to maintain open communication with both your fertility specialist and your eye care provider to ensure a comprehensive approach to your health during this important time.