Nadia: Sorry for your troubles. You have just described the course of a steroid responder. Your pressure was fine for the first few weeks, but after being on a corticosteroid for several weeks your pressure began to rise. If inflammation is well controlled, most surgeons stop the steroid or switch to a weaker steroid if the pressure is hard to control. If you are on a non-steroidal anti inflammatory (NSAID), it makes it easer to get off of the steroid since these drops will still help control inflammation when the steroid is stopped. Sometimes it takes several months for the steroid pressure elevation to resolve. During that time, maximum medical management is attempted. If a patient already has weakened nerves from glaucoma, sometimes a glaucoma surgery must be used to lower the pressure and protect vision.
The only anti-inflammatory drops that raise eye pressure are corticosteroids. If corticosteroids are avoided, the eye pressure will remain normal if no underlying predisposition to elevated pressure exists. The most common class of non-steroidal anti-inflammatories are often referred to as NSAIDs, and they do not cause elevated eye pressure. These include diclofenac, ketorolac, bromfenac, and nepafanac. Cyclosporine is another anti-inflammatory drop that does not increase eye pressure. It is commonly used to treat the inflammation of conditions such as dry eye syndrome or systemic conditions leading to ocular inflammation.