[Pupillary disorder after use of asthma spray aerosol].
A 46-year-old patient was referred as an emergency case to our neuro-ophthalmologic department, because her left pupil was mydriatic and unreactive since the morning of the same day. This pupil did not constrict normally on application of 1 % pilocarpin eye drops. Thus the diagnosis of a medication-induced mydriasis was established. The causative agent proved to be an aerosol, containing ipratropium bromide used for asthma treatment.
Weckerle
P E
PE
Universitätsaugenklinik Tübingen, Abteilung für Pathophysiologie des Sehens und Neuroophthalmologie, Tübingen. petra.weckerle@med.uni-tuebingen.de
Voykov
B
B
D000280:Administration, Inhalation; D000336:Aerosols / Q000009:adverse effects*; D018927:Anti-Asthmatic Agents / Q000009:adverse effects; D001993:Bronchodilator Agents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009241:Ipratropium / Q000009:adverse effects*; D008875:Middle Aged; D015878:Mydriasis / Q000139:chemically induced* / Q000175:diagnosis*
D000336:Aerosols; D018927:Anti-Asthmatic Agents; D001993:Bronchodilator Agents; D009241:Ipratropium