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For all practical purposes, the package insert warning for drugs that may dilate the pupil can be ignored when considering them for glaucoma patients of any type. However, the chronic use of corticosteroids, especially as eye drops, can pose a real danger to patients with open-angle glaucoma, as they can cause vision loss that is gradual, insidious, and irreversible. Both ophthalmologists and other physicians should be very careful in these situations.
J.E. Pederson. University of Minnesota, USA.