Background: Steroids are recognized as a beneficial treatment for various medical conditions, yet clinically relevant side effects of steroids are common and problematic, ranging from a minor case of acne to a potentially life-threatening Addisonian crisis. In anesthetic medicine, the use of epidural steroid injections (ESIs) for chronic low back pain and other radicular pain-related conditions has become standard practice in interventional pain management.Case Report: We report the case of a patient who experienced sudden bilateral blurred vision after receiving an ESI and required urgent ophthalmic interventions and follow-up care. The main clinical findings from this case showed that the patient had high intraocular pressure (IOP) that caused unexpected short-term vision loss. The symptom resolved after 4 months without ophthalmic treatment.Conclusion: Clinicians should inform patients about the possibility of visual complications associated with pain procedures involving steroids. Among the high-risk groups with predisposing factors, such as uncontrolled hypertension and diabetes mellitus, routine eye tests that include measuring IOP prior to ESI should be recommended as a preventive measure. Alternative pain management therapies should be considered if possible. Comprehensive planning of patient care will also ensure safety and prevent unwanted outcomes, particularly with high-risk patients receiving steroids for pain procedures.KYAMC Journal Vol. 7, No.-2, Jan 2017, Page 821-824
Molluscum contagiosum is a viral disease of the skin caused by poxvirus. Infection is usually spread by direct contact, particularly among children and young adults. It may occur on the skin and mucous membranes, with a predilection for the trunk and anogenital areas. Ocular molluscum contagiosum is very rare. Here we present a case of right lower eyelid region molluscum contagiosum. This patient is a 28 years old young woman from Ramchandropur, Pabna, Bangladesh. She noticed a painless swelling in her right lower eyelid for six months. Examination revealed a firm, rough and non-tender growth. There was no visual disturbance. After excisional biopsy, histopathological examination was performed. Microscopically, it shows verrucous epidermal hyperplasia and multiple intracytoplasmic molluscum bodies which are diagnostic key feature of molluscum contagiosum.KYAMC Journal Vol. 5, No.-2, Jan 2015, Page 537-539
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