[Acute toxic anisocoria].
OBJECTIVE
To report clinical findings after accidental ocular instillation of Angel's trumpet (Datura suaveolens) sap.


METHODS
A 24-year-old man, with no particular past history, presented with sudden-onset of unilateral mydriasis. The clinical appearance, as well as the detailed history, made possible the etiologic diagnosis of ocular exposure to sap from Angel's trumpet, a plant containing natural alkaloids with parasympatholytic properties.


CONCLUSIONS
A toxic etiology of sudden-onset anisocoria may be established by taking a detailed history and being familiar with possible causative agents. Accidental ocular instillation of sap from Angel's trumpet should be noted as a possible cause of sudden-onset mydriasis and/or systemic symptoms such as tachycardia in otherwise healthy patients.
Service d'ophtalmologie A, hôpital des spécialités, CHU Ibn Sina, Rabat, Maroc. k.elouazzani@hotmail.fr
K
K
El Ouazzani Chahdi
M
M
Benharbit
I
I
Mansouri
H
H
Saadya Mouhdi
A
A
Karim
Z
Z
Benchrif
W
W
Ibrahimy
R
R
Daoudi
D000208:Acute Disease; D015875:Anisocoria / Q000139:chemically induced* / Q000175:diagnosis; D032302:Datura; D006801:Humans; D007322:Instillation, Drug; D008297:Male; D010936:Plant Extracts / Q000008:administration & dosage / Q000633:toxicity*; D055815:Young Adult
D010936:Plant Extracts