Latanoprost-induced Iris Color Darkening: A Case Report With Long-term Follow-up

PURPOSE:To determine the effect on iris color of discontinuing latanoprost (LP) treatment in a patient with pronounced iris color darkening, and to assess the possible role of sympathetic innervation. METHODS:In a patient demonstrating pronounced iris color darkening in both eyes after treatment wit...

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Veröffentlicht in:Journal of glaucoma 2000-02, Vol.9 (1), p.95-98
Hauptverfasser: Camras, Carl B, Neely, Donna G, Weiss, Ellen L
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creator Camras, Carl B
Neely, Donna G
Weiss, Ellen L
description PURPOSE:To determine the effect on iris color of discontinuing latanoprost (LP) treatment in a patient with pronounced iris color darkening, and to assess the possible role of sympathetic innervation. METHODS:In a patient demonstrating pronounced iris color darkening in both eyes after treatment with LP for 6 months, magnified iris color photographs were taken at 3- to 6-month intervals for 5 years after discontinuation of LP treatment. Pupillary testing for sympathetic insufficiency was performed with cocaine 10% or hydroxyamphetamine 1%. RESULTS:The iris color did not appreciably change after discontinuing LP. The cocaine-induced increase in pupillary diameter was considerably greater for the control subject than for the patient who demonstrated the LP-induced color change. CONCLUSIONS:Latanoprost-induced iris color darkening does not appreciably change for several years after discontinuing treatment. Some eyes that show LPinduced darkening may have relative ocular sympathetic insufficiency.
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METHODS:In a patient demonstrating pronounced iris color darkening in both eyes after treatment with LP for 6 months, magnified iris color photographs were taken at 3- to 6-month intervals for 5 years after discontinuation of LP treatment. Pupillary testing for sympathetic insufficiency was performed with cocaine 10% or hydroxyamphetamine 1%. RESULTS:The iris color did not appreciably change after discontinuing LP. The cocaine-induced increase in pupillary diameter was considerably greater for the control subject than for the patient who demonstrated the LP-induced color change. CONCLUSIONS:Latanoprost-induced iris color darkening does not appreciably change for several years after discontinuing treatment. Some eyes that show LPinduced darkening may have relative ocular sympathetic insufficiency.</description><identifier>ISSN: 1057-0829</identifier><identifier>EISSN: 1536-481X</identifier><identifier>DOI: 10.1097/00061198-200002000-00016</identifier><identifier>PMID: 10708238</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Antihypertensive Agents - adverse effects ; Autonomic Nervous System Diseases - diagnosis ; Cocaine - administration &amp; dosage ; Follow-Up Studies ; Glaucoma, Open-Angle - drug therapy ; Humans ; Intraocular Pressure - drug effects ; Iris - drug effects ; Iris - innervation ; Iris Diseases - chemically induced ; Iris Diseases - pathology ; Male ; Middle Aged ; Ophthalmic Solutions ; Pigmentation Disorders - chemically induced ; Pigmentation Disorders - pathology ; Prostaglandins F, Synthetic - adverse effects ; Pupil - drug effects ; Sympathetic Nervous System - pathology</subject><ispartof>Journal of glaucoma, 2000-02, Vol.9 (1), p.95-98</ispartof><rights>2000 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3566-98af02721c22e32efff8af169b1b2b8602c75d7e51c1881b50e073e1245c761b3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10708238$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Camras, Carl B</creatorcontrib><creatorcontrib>Neely, Donna G</creatorcontrib><creatorcontrib>Weiss, Ellen L</creatorcontrib><title>Latanoprost-induced Iris Color Darkening: A Case Report With Long-term Follow-up</title><title>Journal of glaucoma</title><addtitle>J Glaucoma</addtitle><description>PURPOSE:To determine the effect on iris color of discontinuing latanoprost (LP) treatment in a patient with pronounced iris color darkening, and to assess the possible role of sympathetic innervation. METHODS:In a patient demonstrating pronounced iris color darkening in both eyes after treatment with LP for 6 months, magnified iris color photographs were taken at 3- to 6-month intervals for 5 years after discontinuation of LP treatment. Pupillary testing for sympathetic insufficiency was performed with cocaine 10% or hydroxyamphetamine 1%. RESULTS:The iris color did not appreciably change after discontinuing LP. The cocaine-induced increase in pupillary diameter was considerably greater for the control subject than for the patient who demonstrated the LP-induced color change. CONCLUSIONS:Latanoprost-induced iris color darkening does not appreciably change for several years after discontinuing treatment. 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subjects Antihypertensive Agents - adverse effects
Autonomic Nervous System Diseases - diagnosis
Cocaine - administration & dosage
Follow-Up Studies
Glaucoma, Open-Angle - drug therapy
Humans
Intraocular Pressure - drug effects
Iris - drug effects
Iris - innervation
Iris Diseases - chemically induced
Iris Diseases - pathology
Male
Middle Aged
Ophthalmic Solutions
Pigmentation Disorders - chemically induced
Pigmentation Disorders - pathology
Prostaglandins F, Synthetic - adverse effects
Pupil - drug effects
Sympathetic Nervous System - pathology
title Latanoprost-induced Iris Color Darkening: A Case Report With Long-term Follow-up
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