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Pigmented deposits on a Boston keratoprosthesis from topical ibopamine
Justin M Kanoff1, Kathryn Colby
1Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Purpose:
To report a case of pigmented deposits on a type I Boston keratoprosthesis (KPro) associated with the use of topical ibopamine as a treatment for hypotony.
Methods:
Case report and literature review.
Results:
The dopamine-like agent ibopamine caused black deposits on the bandage lens and on the front plate of the Boston KPro that resulted in reduced visual acuity. Change to a daily disposable contact lens and regular cleaning of the KPro front plate with diluted baby shampoo eliminated this problem.
Conclusion:
This is the first report of this complication with topical ibopamine use and should be considered when ibopamine is used chronically for hypotony.
