Significant myopic shift in 4 months

[Stacimac154]

I have had a significant myopic shift since my last eye exam 4 months ago. I have Myasthenia Gravis, Sjogren's and CVID. I have been on oral steroids for 3 1/2 years. So, I also have Cushing's, insulin dependent diabetes, hypertension, high cholesterol, metabolic syndrome, etc. I also take Imuran, IV Gammaglobulin and IV Rituxan infusions. So, I am immunocompromised. My right eye shift has gone from -4.5 to -8.5 in just 4 months. But, my left eye has had no change. My optometrist is stumped. Eye exam is essentially normal. I do have a mild cataract. But,  she doesn't think it is causing such a significant shift. Any idea what might be the problem?

[Stacimac154]

Thank you. Any other reason for further testing? Since I take immunosuppressive medications, I have read that there is increased risk for cancers. Doctors are concerned because only one eye is being effected and so rapidly. Your thoughts?
Staci

[Ray T Oyakawa, MD]

Probably due to the steriods. This can accelerate an cataract in one eye.

Dr. O.