METHYL PREDNISOLONE :
- Most potent & most toxic i.v. steroid
- VIAL : 500mg / 1g dry powder
- Always given with glucose as it can induce hypoglycemia
- ALWAYS MONITOR B.P. & PULSE.
INDICATION :
- Optic Neuritis – ONTT : Optic Neuritis Treatment Trial : 1gm/day for 3 days; followed by Tab Prednisolone 1gm/kg/day with 7 days tapering i.e. 60mg for 7days; 50mg x next 7 d; 40 – 30 – 20 – 10mg.
- Choroiditis
- Severe resistant intra ocular infection not responding to intensive treatment
- Sterile endophthalmitis
- AION : Anterior Ischemic Optic Neuropathy.