title: Accidental mydriasis from exposure to Angel's trumpet (Datura suaveolens).
abstract: OBJECTIVE
  To report clinical findings after accidental instillation into the eye of sap from Angel's trumpet (Datura suaveolens).
  
  
  METHODS
  We report findings on seven patients who developed sudden onset of unilateral mydriasis. At least three of them also had ipsilateral cycloplegia and one developed transient tachycardia.
  
  
  RESULTS
  The symptoms evolved after ocular exposure to sap from Angel's trumpet, a plant containing natural alkaloids with parasympatholytic properties. Six patients were initially unaware of the cause of their symptoms. In these cases, patient history revealed recent contact with Angel's trumpet.
  
  
  CONCLUSIONS
  Accidental ocular instillation of sap from Angel's trumpet should be noted as a cause of sudden onset of mydriasis in otherwise unaffected patients and also of general symptoms like tachycardia.
authors.affiliation: Department of Ophthalmology, Malmö University Hospital, University of Lund, Malmö, Sweden. Ulf.Havelius@oftal.mas.lu.se
authors.forename: Ulf
authors.initials: U
authors.lastname: Havelius
authors.forename: Peter
authors.initials: P
authors.lastname: Asman
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015875:Anisocoria / Q000209:etiology / Q000503:physiopathology; D013286:Datura stramonium / Q000506:poisoning*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015878:Mydriasis / Q000209:etiology* / Q000503:physiopathology; D010939:Plant Poisoning / Q000209:etiology*; D010947:Plants, Toxic / Q000506:poisoning*; D012601:Scopolamine / Q000506:poisoning; D013610:Tachycardia / Q000209:etiology / Q000503:physiopathology
chemical_list: D012601:Scopolamine