Article Text

Download PDFPDF
Acute confusion secondary to steroid eye drops
  1. Umar Farooq,
  2. Bander Dallol
  1. Heart of England Trust, UK
  1. Correspondence to Dr Umar Farooq, umarfarooq{at}


We present a case of a 90-year-old woman who presented to the acute medical unit with a new onset presentation of confusion. Her abbreviated mental test on admission was 5/10. Biochemical screen including full blood count, urea and electrolytes, C reactive protein and liver function test and imaging such as chest X-ray and CT of the head were normal. The patient had recently been started on steroid eye drops for shingles. Suspension of this medication was followed by a resolution of confusion with the abbreviated mental test on discharge improving to 9/10. To the best of our knowledge, this is the first presentation of a link between steroid eye drops and acute confusion.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.