Use of Corticosteroids in the Eye

Corticosteroids are used in several diseases of the eyes, the important ones are given below, followed by the contraindications of using corticosteroids:

1. Chalazion
2. Atopic Dermatitis
3. Chronic blepheritis
4. Childhood blepharokeratoconjuctivitis
5. Graves Ophthalmolopathy (?)
6. Proptosis
7. Optic neuropathy
8. Idiopathic orbital inflammatory disease
9. Orbital myositis
10. Tolosa Hunt syndrome
11. Wegner’s granulomatosis
12. Capillary hemangioma
13. Sjogren’s syndrome
14. Acute bacterial conjunctivitis (for scarring and membranes)
15. Adenoviral conjuctivits (for membranes and pseudomembranes)
16. Allergic conjunctivitis
17. Mechanically induced papillary conjunctivitis
18. Mucous membrane pemphigoid
19. Stevens-Johnson’s syndrome
20. Superior limbic keratoconjuctivitis
21. Lignous conjunctivitis
22. Pingueculum
23. Pterygium
24. Conjuctivochalazia
25. Bacterial keratitis (to prevent scarring, chance for fungi, herpes simplex and mycobacterial growth and delayed epithelial healing)
26. Disciform keratitis (compulsory)
27. Necrotizing stromal keratitis
28. Acute shingles
29. Syphilitic interstial keratitis
30. Cogan syndrome
31. Protozoal keratitis
32. Onchocerciasis
33. Marginal keratitis
34. Phylctenulosis
35. Ocular rosacea
36. Mooren ulcer
37. Terrien marginal degeneration
38. Thygeson superficial punctuate keratitis
39. Infective scleritis
40. Cystoid macular edema
41. Simple episcleritis
42. Nodular episcleritis
43. Acute congestive angle closure glaucoma
44. Rubeosis iridis
45. Uveatic glaucoma
46. Posner-Schossman syndrome
47. Traumatic glaucoma
48. Uveitis
49. Toxocariasis
50. Cysticercasis
51. Herpes simplex uveitis (only in absence of epithelial disease)
52. Acute posterior multifocal placoid pigment epitheliopathy (?)
53. Multifocal choroiditis and panuveitis
54. Serpiginous choroidopathy
55. Progressive subretinal fibrosis and uveitis syndrome
56. Vogt-Keyanagi Harada syndrome
57. Sympathetic Ophthalmitis
58. Birdshot retinochoroidopathy
59. Fuch’s uveitis syndromes
60. Phacoanaphylactic endophthalmitis
61. Phacogenic non-granulomatous uveitis
62. Solitary idiopathic choroditis
63. Frosted branch angitis
64. Pyogenic granuloma
65. Eale’s disease
66. Radiation retinopathy
67. Demyelinating optic neuritis
68. Sarcoid optic neuritis
69. Neuroretinitis
70. Giant cell arteritis
71. Diabetic papillopathy
72. Orbital fractures (for edema)

Contraindications:

1. Tuberculosis
2. Viral infections (relative)
3. Bacterial infections (relative)
4. Fungal infections (almost absolute)
5. Peptic ulcer
6. Deep corneal epithelial defects