Early cataracts and corticosteroids

I have allergic asthma and have been on inhaled corticosteroids for nearly 20 yrs. (Advair for 3 years, prior to that albuterol rescue inhaler only). My optometrist recently informed me I have early cataracts in both eyes. I was shocked due to my age (55) and excellent health (other than my asthma). I read of links between these drugs and cataracts. If I reduce the usage of my inhaled meds would this slow down the cataract progression? Do eye vitamins like Alcon's I-Caps help to slow the progression of cataracts? I can't find any other risk factors and this is really bothering me.

[Ray T Oyakawa, MD]

Ocular complications of steroids include cataract and glaucoma.  However, about 50% of the population has significant cataracts by age 55.

I would not reduce your asthma medications without consulting your physician.  Cataracts can be safely removed.  If can't breathe it is a more serious problem.

Dr. O.