DR. THOMAS LINYA

DR. JAYAGAYATHRI RAJAGOPALAN, DR.DAYAKAR YADALLA

Abstract

85 year old man presented with c/o watering in Right eye. On examination there was Right eye lower lid cicatricial ectropion with dermatitis which followed a tear track pattern extending from medial side of upper lid, around medial canthus and going down the cheek in the pattern of tears. Clinically the differential diagnosis were allergic contact dermatitis and basal cell carcinoma. On further detailed history, patient revealed usage of antiglaucoma medications with history of wheezing .Patient was started on steroid- antibiotic ointment. On next visit, the patient brought the medication which turned out to be brimonidine which he was using in the right eye thrice daily. Patient was asked to stop brimonidine usage. Two month follow up revealed resolution of the ectropion with topical steroid ointment.

Clinicians should be aware of the masquerading features of Antiglaucoma medications