Prednisone and eyesight

I was wondering if anyone experienced blurry vision on prednisone? Yesterday I was having problems reading road signs ect.

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Prednisone has the tendency to make vision very unstable from one day to the next. However, make no assumptions.

Any new developments should be reported/checked out by your opthalmologists ASAP.

When it comes to your eyesight do not take any chances. Many, many things can occur with this disease and its treatment and cause irreversable damage very quickly.

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This has happened to me as well. I agree as well to report anything you may notice with your opthamologist. I used to wear contacts often and now I only wear them every so often. I'm beginning to wonder if I'm able to wear them at all. The last couple of times that I've worn them, I've noticed the next day my eyes hurt.

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PlainTruus is right on! Any new developments in a person with Sarc and especially someone on Prednisone should see an ophthmalogist ASAP. Prednisone can cause both cataracts and glaucoma.

Sarc can cause uveitis and optic neuritis which need prompt treatment. It's better to go in and have nothing be wrong or it just be the variances in day to day vision from the Pred than miss something serious.

Good Luck,


Carol

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Thanks,
It is good to have this sight to ask what feels like random questions. I make a list before my doctor appointments and then I forget to ask. I will make an appointment with an ophthamologist.
I called my orthopedic doctor last week and ask if symptoms of my swollen, very tender ankle and my knee that won't bend could be sarcoidosis. He had an assistant call me back and said he has not heard of sarcoidosis in the joints. I am certain I read that it can. He said you have very severe arthritis. How does he know it is not sarcoidosis in the joints? I also have a large lump under my knee that a massage student found.

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I have experienced Central Cyrus Retinopathy which can be triggered by cortisteroids. ask your doctor to check for these leaks.

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Extreme swelling and pain of the joints is a common phenomena in sarcoidis. Many, many of us have/had it. You need to see a rheumatologist rather than an orthpeadist for this development.

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Colorado-Nance:

Yes, Prednisone can cause problems with the eyes. It can cause Prednisone or steroid cataracts. My eye specialist has said the scar is still at the back of the eye and he still watches it. It made my eye blurry and my worse eye as far as getting glasses. It did heal and has had no effect for years. I was on Prednisone for 5 years, large dose at first. You need to see an opthamologist to have your eyes examined. You only have one set of eyes as you know, so very important you see a specialist so they can look at the back of your eyes to see if anything going on. It is all painless by the way, never minded it at all. Your doctor will refer you, as you have to have a referral at least here in Canada.

Maurine

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Hi Colorado-Nance,

I had a similar experience with the prednisone. I had blurred vision for a few weeks and had my eyes check. The steriods caused a blood vessel to break in my retina. They were concerned about it, but it was absorbed and went away. I had to go on Klonapin to help with the temors that the steriods caused. Crazy drug. Its the good drug/bad drug! Thanks and good health.

Dobeck

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Uh, your ortho is dead wrong. Sarc can at the least be felt in the joints from inflammation and at the most be in the joints. Talk to your rheumatologist about the joint pain.

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Central serous chorioretinopathy usually resolves favorably in many individuals with vision returning to 20/25 or so in a few months.
lowering steroids helps to resolve this condition. it can be very damaging in some individuals however especially if neovascularizaton starts up as a result. this condition also seems to occur more often in Men with a type A personality and under a lot of stress. it can occur in women more often after about 50 years of age.
cystoid macular edema is another condition with fluid build up under the macula but this is more damaging than CSCR.
Sarcoidosis patients are more likely to develop CME and neovascularization with vision damaging complications.

do you also have scaring from granulomas that have receeded leaving blind spots related to posterior uveitis?

wish you the best,
Mike

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http://emedicine.medscape.com/article/1227025-overview

this is on central serous chorioretinopathy

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My vision became very clear again a couple days ago. Maybe my body is getting used to prednisone? Slill not sleeping thou,

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Prednisone disrupts the circadian rhythym. Talk to your doctor about the best time(s) to take the medicine. Mornings is usually advised because this most closely resembles the bodies normal production of this hormone.

Did you follow up with an ophthalmologist?

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I just got a name of an opthamologist. He helped me about a year ago with an eye infection. He was my 4th doctor I saw with that infection so I feel confident in him. I have been taking the prenisone in the morning. The pulm doctor wants me to try a bi-pap machine for two weeks. Also had me sleep with an oxygen monitor. So I have not been able to get to sleep anyway. Plus my air conditioner is not working and it is hot. I have a job a few hours in the morning so I have to get up at 5am. He prescibed a sleeping pill but I still can't sleep. This was just a bad time to try to do a sleep study. I did not know the body makes prednisone.

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DOES SARCOIDOS IN THE EYES MEAN THAT THE SARCOID IS SYSTEMIC?
IS THIS CONSIDER FOURTH STAGE SARCOIDOS?
I HAVE IT IN THE EYES WITH NO SIGNIFICANT SYMPTOMS.
MY DOCTOR SAYS IT IS ALL OVER MY BODY.
MY EYES ARE DRY ALL THE TIME.
MY VISION IS GOOD.
WHAT ARE THE SYMPTOMS OF uveitis?
CAN ANYONE HELP?

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I get blurred vision often on prednisone. I also get some nerve swelling from the sarcoidosis in the eyes. It comes and goes with me, but has become more frequent.

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stages in sarcoidosis are used only in lung sarcoidosis and refers only to the appearance of the chest x-ray. It has not other significance and does not represent progression of the disease. It is not the same thing as in the staging in cancer where a higher number indicates a worse scenario.

For information on uveities, dry eyes and such search posts for from uveitisguy. He posts general information regularly on these subjects.

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uveitis can have symptoms when it is related to inflammation of the iris called iritis or anterior uveitis. a red eye is present and frequently one cannot tolerate light (photophobia). the iris inflammation can cause the iris to stick to the lens and this causes pain from spasm of the muscle of the ciliary body that opens and closes the iris. steroid eyedrops are used to stop the inflammation and a dilating drop is used to relax the muscle the opens and closes the iris. this stops pain but increases aversion to light because more light enters the eye. one also used tight fitting wrap around sunglasses and a cap when photophobia is present.

the uveitiscan be located behind the iris along the pars plana region causing an exudative process often called snowballs or snowbanks. this is called intermediate uveitis. cells can also get into the front part of the jelly like substance that fills the eye called the vitreous. these appear as very small dots floating around in your vision. often YOU can see them when light is behind you and you look at a very white wall surface or looking down at a white piece of paper. often the cells clump together forming opacities that travel across your vision. I see them while looking at my computer screen.

the back of the eye can become inflammed too and this causes exudate to form on the retina. usually little blobs of granulomatus material they can go away but they leave a scar on the surface of the retina which causes a blind spot to occur. this is posterior uveitis. this is also called fibrosis. the inflammatory process can also cause fluid to accumulate under the retina. this is called cystoid macular Edema. new blood vessels can start growing called neovascularization. they are very weak and can break bleeding into the viteous and you would see a big black blob or a lot of black floaters. a major detachment of the retina can also hapen with bleeding and this would be seen as a black curtain coming over the eye, when two or more parts of the eye are inflammed, it is called pan uveitis,cells can enter the jellylike substance and cause posterior vitritis

glaucoma can occur as well from uveitis and the steroids used to treat it. one sees halo's around lights sometimes but not all times so you need a visit periodically to someone to measure pressure inside your eyes when taking steroids. glaucoma can blind you quickly and you don't know there is a problem.

cataracts can also occur and can cause blur of vison and starburst pattern around lights. this can develop from uveitis or from steroid use of any type.
severe dry eyes can develop from sarcoidosis inflammation of the lacrimal gland that makes the fluid part of the tear film. it is extremely important to treat dry eyes because it can lead to abrasion of the sclera or cornea by wearing the conjunctiva off the eyeball from friction between the eyelids and the eyeball where there is no tear film being produced, frequent use of lubricating eyedrops is recommended. I use gel type lubricating eyedrops at bedtime as they last longer. then I switch to a good quality lubricating eyedrop such as theratears etc. I also had plugs implanted to close off the upper drains of my eyes to help keep tears on the surface of my eyes longer before they go down the drains of the eye. they are called Puctal Plugs.

the DMARD class of drugs are introduced in treatment of sarcoid related eyedisease in a corticosteroid sparing approach to treatment. steroids can lead to cataract formation, glaucoma and blood vessels breaking on the surface of the eye or inside the eye from long term use. usually methotrexate is used by the Ocular Immunologist, a highly trained ophthalmologis alone or in combination with TNF A blocking drugs such as Remicade or Humira. Plaquenil doesn't treat uveitis or lacrimal gland inflammation. the drug of choice is Methotrexate or Cellcept or Imuran. usually tried in this order to find out what will work for you. the TNF A blocking drug often used to treat arthritis and psoriasis does NOT work for uveitis either. and in rare cases it has been found to cause uveitis. Plaquenil can do this too.

I hope this helps,
Mike

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Sarcoidois is often a systemic disease process with granuloma formation in many organs of the body so yes it would be considered to be 'systemic'. often hearing (CNS) involvement is present when there is eye involvement such as uveitis. and Arthritis and skin sarcoidsis lesions.

I hope this helps,
Mike

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