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To investigate the risk of steroid-induced ocular hypertension in children treated with systemic glucocorticoid. Prospective cohort study of children treated with high-dose systemic glucocorticoid (prednisolone-equivalent 0.5 mg/kg/day) for more than 2 weeks. Intraocular pressure (IOP) was measured by an Icare tonometer. An intraocular hypertensive response was defined as a net increase in IOP ≥6 mmHg from baseline or a peak IOP ≥21 mmHg in either eye. Patients with a peak IOP ≥31 mmHg or a net increase in IOP ≥15 mmHg were considere