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Uday Devgan, M.D. T opical steroid use can have certain unwanted side effects. The main risks are a rise in intraocular pressure (IOP), posterior subcapsular cataracts, and increased infection.Increased pressure is a serious problem, as it could inadvertently give patients glaucoma.day Devgan, M.D. T opical steroid use can have certain unwanted side effects. The main risks are a rise in intraocular pressure (IOP), posterior subcapsular cataracts, and increased infection.
This is a tough question. There is increasing evidence on the negative effects of low dose prednisone. But I do not think this is a black and white issue. Low dose prednisone can cause weight gain, increased blood pressure, worsening diabetes, osteoporosis and increase risk of heart disease. Thus, if you have one of these problems already or have other risk factors for these problems, then prednisone could make matters worse.