Steroid-induced ocular hypertensive response in children and adolescents with acute lymphoblastic leukemia and non-Hodgkin lymphoma

Pediatr Blood Cancer. 2014 Nov;61(11):2083-5. doi: 10.1002/pbc.25070. Epub 2014 Aug 17.

Abstract

The aim of this study was to evaluate intraocular pressure (IOP) associated with use of glucocorticoids in children and adolescents treated for acute lymphoblastic leukemia and non-Hodgkin lymphoma. We carried out a prospective descriptive study with measurement of IOP before treatment (D0), 8th (D8), 14th (D14), and 28 h days (D28) of treatment. We examined 12 patients, with two cases of ocular hypertension, and it was found a statistically significant difference between the means of IOP between D0 versus D8 and D0 versus D14 (P = 0.013). The possibility of silent ocular hypertension with irreversible blindness indicates the need of IOP verification.

Keywords: acute lymphoblastic leukemia; chemotherapy; glaucoma; non-Hodgkin lymphoma; steroids.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Female
  • Glucocorticoids / adverse effects*
  • Humans
  • Intraocular Pressure / drug effects
  • Lymphoma, Non-Hodgkin / drug therapy*
  • Lymphoma, Non-Hodgkin / physiopathology
  • Male
  • Ocular Hypertension / chemically induced*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / physiopathology
  • Prospective Studies

Substances

  • Glucocorticoids