Which patient is most at risk for developing glaucoma?

The patient taking prednisone for psoriasis is at a higher risk for developing glaucoma due to the known effects of corticosteroids, such as prednisone, on intraocular pressure. Prolonged use of corticosteroids, whether topical or systemic, can lead to increased pressure within the eye, which is a significant risk factor for the development of glaucoma.

While there are other factors that can influence the risk of glaucoma, such as family history or other medical conditions, the association between corticosteroid use and elevated intraocular pressure is well established in medical literature. Consequently, this patient should be monitored closely for any signs of glaucoma as part of their ongoing treatment plan.

In contrast, other patients listed may not have as direct a link to glaucoma risk. For instance, taking hydroxychloroquine, experiencing an irregular heartbeat, or simply visiting the eye doctor annually does not specifically indicate an increased risk for glaucoma compared to the use of corticosteroids.