Lesson of the Week: Bilateral cataracts and glaucoma induced by long term use of steroid eye drops

Abstract
A 47 year old woman presented to the accident and emergency department with a chronic history of irritable eyes, a right upper lid chalazion, and decreasing vision over three months. The ophthalmic history was of left amblyopia and an episode of acute anterior uveitis several years previously. This uveitis had been treated at St Paul's Eye Hospital with topical steroids for four weeks. The only relevant medical history was of hypothyroidism.