Steroid-related mechanisms in ocular health and disease: therapeutic effects, adverse events, and stress-related modulators. A narrative literature overview - Report - MDSpire

Steroid-related mechanisms in ocular health and disease: therapeutic effects, adverse events, and stress-related modulators. A narrative literature overview

  • By

  • Fabio Scarinci

  • Giulio Pocobelli

  • Francesca Romana Patacchioli

  • July 3, 2026

  • 0 min

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Clinical Report: Mechanisms of Steroid Impact on Eye Health and Disease

Overview

This literature review explores the relationship between stress-related neuroendocrine dysregulation and ocular health, emphasizing glucocorticoid signaling in ocular disease management.

Background

Understanding the impact of stress on ocular health is crucial as it influences various ocular diseases, including glaucoma and central serous chorioretinopathy. Glucocorticoids are essential in managing inflammatory ocular conditions, but their use can lead to significant adverse effects.

Data Highlights

No numerical data available in the source material.

Key Findings

  • Activation of the HPA axis and sympathetic nervous system affects ocular homeostasis.
  • Stress-related neuroendocrine dysregulation is linked to glaucoma and ocular surface disease.
  • Glucocorticoids are vital for treating inflammatory ocular diseases but can cause ocular hypertension and cataract formation.
  • Chronobiological factors may influence treatment efficacy and safety in ocular therapies.
  • Psychosocial stress impacts treatment adherence and quality of life in patients with chronic ocular conditions.

Clinical Implications

Clinicians should consider the effects of stress on ocular health when managing patients with ocular diseases.

Conclusion

The review emphasizes the complex interactions between stress, glucocorticoid signaling, and ocular health.

Related Resources & Content

  1. Leonid Skorin, Jr., O.D., D.O., F.A.A.O., Optometric Management, 2002 -- Uses and Effects of Ocular Steroids
  2. Luke Moore, MD, Ophthalmology Management, 2014 -- Know the systemic effects of ocular steroid therapy
  3. Veronica Daub, Optometric Management, 2026 -- The Hormonal Link to Ocular Disease in Women
  4. American Academy of Ophthalmology, 2024 -- Diabetic Retinopathy Preferred Practice Pattern®
  5. Dexamethasone Intravitreal Implant for Noninfectious Intermediate or Posterior Uveitis, JAMA Ophthalmology, 2023
  6. Optometric Management — Are Omega 3s Enough for Dry Eye Patients? Recommendations
  7. Diabetic Retinopathy Preferred Practice Pattern® - Ophthalmology
  8. Dexamethasone Intravitreal Implant for Noninfectious Intermediate or Posterior Uveitis
  9. Central serous chorioretinopathy: An evidence-based treatment guideline | CiNii Research

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