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August 1987

Epinephrine Staining of a Soft Contact Lens

Author Affiliations

Washington, DC

Arch Ophthalmol. 1987;105(8):1021-1022. doi:10.1001/archopht.1987.01060080023013

To the Editor.  —Black conjunctival and corneal deposits have been noted in patients with glaucoma who use topical epinephrine ophthalmic solution.1 Black contact lens deposits were noted in three patients by Sugar2 in 1974. We present a patient with a discolored soft contact lens secondary to topical application of epinephrine who presented as an emergency to our eye clinic.

Report of a Case.  —A 63-year-old woman with bilateral, chronic, open angle glaucoma and a spontaneous posterior dislocation of the lens in the left eye had been followed up at our clinic since 1978. She had been successfully fitted with an aphakic extended-wear (Perfilcon-A, Cooper Vision, San Jose, Calif) soft contact lens in the left eye. Her last lens replacement was on Nov 18, 1983. Her ocular medications included 5% timolol maleate ophthalmic drops (one drop twice daily) and 2% pilocarpine hydrochloride ophthalmic drops (one drop four times per day

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