Article Text
Letter to the Editor
Iopidine allergy causing lower eyelid ectropion progressing to cicatricial entropion
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Editor,—Apraclonidine hydrochloride 1% (Iopidine) is a selective α2-adrenergic agonist used to treat glaucoma or to protect against pressure spikes before laser treatments. Up to 48% of patients taking Iopidine for over 3 weeks develop follicular conjunctivitis.1 2 Periocular contact dermatitis was also associated with Iopidine allergy in 62% of the cases.2 We report a case of an Iopidine allergic reaction presenting with eyelid ectropion which further progressed to cicatricial entropion.
CASE REPORT
A 64 year old man was referred with a 6–8 month history of non-resolving conjunctivitis, epiphora, and resultant left lower eyelid …