glengray

[glengray]

I am 75. The optometrist at my previous regular annual examination said I had an early cataract, and speculated whether it might have something to do with cortisone.  At the most recent examination my eyes had changed significantly because of cataracts (but still correctable with glasses).  I have a dispersed, slight, but persistent skin rash on my arms and body, which (on GP's advice) I control with very sparing applications of eumovate cream.  I understand that cataracts can't be reversed, but I wonder if their development would be slowed if I reduced or stopped the use of eumovate cream.  Or has the cream got nothing to do with the case?  I am not clear whether an optometrist or an eye specialist can distinguish between a cataract caused by cortisone and any other type of cataract.  Should I be taking advice about the use of the eumovate cream and whether it might affect my eyes?  (I never put it anywhere near my eyes.)

[John C Hagan III, MD, FACS]

Steroid creams used on the extremities are not at all likely to cause a cortisone cataract. In rare cases use of steroid creams around the eye over long periods of time have caused steroid glaucoma and steroid cataracts. Steroid cataracts are much more common from steroid pills and drops.

Steroid cataracts grow faster than regular cataracts and are treated the same.

I would say to use the steroids on your extremeties and not to worry.

JCH III MD

[glengray]

Many thanks
Glengray

[glengray]

Many thanks
Glengray

[John C Hagan III, MD, FACS]

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