PURPOSE: We studied two clinical cases that demonstrated an associatio
n between topical beta blocker therapy and lichen planus. METHODS: Two
patients developed skin lesions while on topical beta blocker therapy
for open angle glaucoma. They underwent skin. biopsies to determine t
he origin of the lesions. They were subsequently treated and followed
up clinically. RESULTS: Skin biopsy specimens from each patient demons
trated infiltrates consistent with a lichenoid drug reaction. The symp
toms resolved after discontinuation of the topical beta blocker therap
y. Neither patient developed a recurrence. CONCLUSION: We suggest that
lichen planus is a possible side effect: of topical beta blocker ther
apy.