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Staghorn Deposits of the Palpebral Conjunctiva With Corneal Abrasion
An 88-year-old woman had been treated medically for chronic open angle glaucoma for nine years. Epinephrine compounds had been used topically during this period of time. She had a three-day history of redness of both eyes with tearing and foreign-body sensation in the left eye. Her visual acuity and intraocular pressures were unchanged, but the bulbar conjunctivae were hyperemic. Slit-lamp examination revealed diffuse, punctate, fluorescein staining of the upper two thirds of the left cornea, and slight punctate staining of the lower right cornea. The palpebral conjunctivae and upper eyelids contained numerous, dark brown, irregularly shaped deposits varying in size up to 2 mm in diameter. There were several particularly large deposits on the left upper eyelid (Fig 1). These largest deposits were excised, and the eye was dressed with antibiotic ointment. Five days later the patient's left eye was more
Cashwell LF, Shield MB, Reed JW. Adrenochrome Pigmentation. Arch Ophthalmol. 1977;95(3):514-515. doi:10.1001/archopht.1977.04450030156022