Timolol Maleate Associated With Phalangeal Swelling

We report a case in which timolol maleate may have been the cause of phalangeal swelling. Report of a Case. —A 61-year-old white woman has been followed up by our glaucoma service because of advanced, primary open angle glaucoma. Her history included anterior poliomyelitis during childhood, with slight right hemihypertrophy as a sequela. There was no significant family history of chronic diseases. On February 2, 1989, her best corrected visual acuity was 20/25 OD and 20/20 OS with a refractive error of +2.50 +0.75 × 5 and +0.50 +1.00 × 168 for the right and left eye, respectively. Results of applanation tonometry were 21 mm Hg OD and 23 mm Hg OS, with 0.5% betaxolol hydrochloride and 0.1% dipivefrin hydrochloride every 12 hours in both eyes. Results of slitlamp biomicroscopy were within normal limits. Results of a dilated funduscopic evaluation revealed a 0.95 cup-disc ratio of the right optic nerve