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Steroid Complications in Uveitis — RACP Paediatrics MCQ

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ModerateRheumatologySteroid Complications in UveitisRACP Paediatrics

A 6-year-old girl with JIA-associated uveitis has been on topical corticosteroid eye drops for 12 months. What ocular complication of long-term topical steroid use must be monitored?

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Correct answer: B — Steroid-induced glaucoma and posterior subcapsular cataract

Long-term topical corticosteroid use for JIA uveitis can cause posterior subcapsular cataract and steroid-induced glaucoma. Regular IOP measurement and cataract assessment are essential. Steroid-sparing immunosuppression (methotrexate, adalimumab) should be used to minimise steroid dependence.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: JIA-Associated Uveitis