Pigmented deposits on a Boston keratoprosthesis from topical ibopamine.

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.