Anisocoria after anaesthesia
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Abstract
Unequal pupil size following anaesthesia is an unsettling finding, suggestive of acute, perioperative intracranial pathology. We report here an unusual cause of anisocoria after anaesthesia: unintended entrance of phenyle-phrine nasal vasoconstrictor solution into the eye.
Key words
anaesthesia: paediatric complications: anisocoria sympathetic nervous system: phenylephrine, mydriasisRésumé
Des pupilles de diamètre inégal après l’ anesthésie restent un problème non résolu suggérant une pathologie algue intracrânienne péri-opératoire. On rapporte le cas d’ une cause inhabituelle d’nisocorie après anesthésie: l’entrée involontaire dans l’ œil d’ une solution de phénylephrine administrée pour vasoconstriction nasale.
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References
- 1.Sobel AM. Anisocoria during general anesthesia. Anesth Analg 1965; 44:522–6.PubMedCrossRefGoogle Scholar
- 2.Holmgreen WC, Baddour HM, Tilson HB. Unilateral mydriasis during general anesthesia. J Oral Surg 1979; 37:740–2.PubMedGoogle Scholar
- 3.Klein DS, Kosanin R. Anisocoria and ipsilateral exophthalmos during enflurane anesthesia. Anesthesiology 1982; 57:237–8.PubMedCrossRefGoogle Scholar
- 4.Payne JW, Adamkiewicz J Jr. Unilateral internal ophthalmoplegia with intracranial aneurysm. Am J Opthalmol 1969; 68:349–52.Google Scholar
- 5.Hallett M, Cogan DG. Episodic unilateral mydriasis in otherwise normal patients. Arch Ophthalmol 1970; 84:130–6.PubMedGoogle Scholar
- 6.Edelon RN, Levy DE. Transient benign unilateral pupillary dilation in young adults. Arch Neurol 1974; 31:12–14.Google Scholar
- 7.Smith R, Russell RGG, Woods CG. Myositis ossificans progressiva. J Bone Jt Surg 1976; 58-B:48–57.Google Scholar
- 8.Hentzer B, Jacobsen HH, Asboe-Hansen G. Fibrodysplasia ossificans progressiva. Scand J Rheumatol 1977; 6:161–71.PubMedCrossRefGoogle Scholar
- 9.Stafford TJ. Transient unilateral dilation of pupil associated with headache. JAMA 1972; 221:1171.PubMedCrossRefGoogle Scholar
- 10.Haddad NJ, Moyer NJ, Riley FC Jr. Mydriatic effect of phenylephrine hydrochloride. Am J Ophthal 1970; 70:729–33.PubMedGoogle Scholar
- 11.Barbee RF, Smith WO Jr. A comparative study of mydriatic and cycloplegic agents in human subjects without eye disease. Am J Ophthal 1957; 44:617–22.PubMedGoogle Scholar
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© Canadian Anesthesiologists 1985