Fuchs endothelial dystrophy
Pred Forte Eye Drops
I have Fuchs endothelial dystrophy and just recently had corneal repair surgery. I am using Pred Forte in my surgery eye, which started at q2h and then has been gradually reduced down to three times a day.
I have noted that my glucose level has increased. It used to be around 90 to 100, now in the mornings it is 122-130. Is it possible that it could be the Pred Forte.
I have actually gone on a diet in the past few weeks and my glucose reading is still elevated.
Could it be the Pred Forte?
Thanks for your Question
Steroid in general can cause glucose intolerance or high blood level of glucose. But with Corticosteroid Eye Drops, the risk of this intolerance is small because the amount of steroid that can reach the blood stream from the eye is small. Theoretically it can happen but clinically i didn't find any of my patients complaining of that.
In order to minimize the systemic absorption of corticosteroid eye, you have to press on the inner corner of the eye for 5 minutes at the same time you apply eye drops.
This will reduce the amount of drug that passes through the nasolacrimal duct or tear ducts, thus reducing the amount of the drug that can reach the blood stream.