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Netarsudil-associated conjunctival pigmentation.

Soufiane Azargui1, Joana Karanxha1, Scott Cn Oliver1

  • 1Department of Ophthalmology, University of Colorado School of Medicine, Sue Anschutz-Rodgers Eye Center, Aurora, Colorado, USA.

American Journal of Ophthalmology Case Reports
|April 16, 2025
PubMed
Summary
This summary is machine-generated.

Topical netarsudil eye drops can cause conjunctival pigmentation and cornea verticillata. These side effects resolved after discontinuing the medication, highlighting a potential sequela of netarsudil therapy.

Keywords:
Conjunctival pigmentationNetarsudilPrimary acquired melanosisRhopressa

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Area of Science:

  • Ophthalmology
  • Pharmacology

Background:

  • Netarsudil 0.02% is a Rho kinase inhibitor used for glaucoma treatment.
  • Corneal verticillata is a known side effect of netarsudil therapy.

Observation:

  • Bilateral conjunctival pigmentation and cornea verticillata developed in a patient after 21 months of topical netarsudil use.
  • The conjunctival pigmentation resembled primary acquired melanosis.
  • Both conjunctival and corneal findings resolved 14 months after discontinuing netarsudil.

Findings:

  • This case report identifies conjunctival pigmentation as a potential, previously unreported side effect of topical netarsudil.
  • The observed findings suggest a link between netarsudil use and conjunctival pigment deposition.

Implications:

  • Ophthalmologists should be aware of the potential for conjunctival pigmentation with netarsudil use.
  • This finding may prompt further investigation into the long-term ocular effects of netarsudil.
  • Early recognition and discontinuation of netarsudil may lead to resolution of these pigmentary changes.