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Chest, Vol 90, 148-149, Copyright © 1986 by American College of Chest Physicians

ARTICLES

Anisocoria and aerosolized anticholinergics

DR Jannun and SF Mickel

The use of aerosolized anticholinergics has not previously been emphasized as a cause of pharmacologic pupillary dilation. The diagnosis can be confirmed by instillation of 1 percent pilocarpine hydrochloride in the affected eye, thereby preventing needless neurologic studies and evaluation. We report one patient who had transient asymmetric pupillary dilation secondary to aerosolized anticholinergic treatment. Also, we looked at the incidence of the above complication in 40 outpatients who were treated for acute asthmatic exacerbation.


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M. D. Cabana, H. Johnson, C. K.K. Lee, and M. Helfaer
Transient Anisocoria Secondary to Nebulized Ipratropium Bromide
Clinical Pediatrics, July 1, 1998; 37(7): 445 - 447.
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Copyright © 1986 by the American College of Chest Physicians.