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Unilateral mydriasis due to scopolamine patch

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Abstract

Case We report the case of a patient who presented with unilateral mydriasis after a scopolamine patch application. The specific clinical context (cancer) reported here may have led to the misinterpretation of the etiology of mydriasis. Conclusion Our case description warns against diagnostic mistakes related to this side effect and highlights the advantages of pilocarpine test in the differential diagnosis of unilateral mydriasis.

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References

  1. Roquer JM, Vila A, Roure C. Transdermal scopolamine patches and anisocoria. Med Clin (Barc). 1995;104(17):677–8.

    CAS  Google Scholar 

  2. Thiele EA, Riviella JJ. Scopolamine patch-induced unilateral mydriasis. Pediatrics. 1995;96(3 Pt 1):525.

    PubMed  CAS  Google Scholar 

  3. Rodor F, Cottin C, Jouglard J. Transdermal scopolamine and mydriasis. Therapie. 1989;44(6):447–8.

    PubMed  CAS  Google Scholar 

  4. Verdier DD, Kennerdell JS. Fixed dilated pupil resulting from transdermal scopolamine. Am J Ophthalmol. 1982;93(6):803–4.

    PubMed  CAS  Google Scholar 

  5. Roper DL, Hale L. A case report: unilateral cycloplegia resulting from careless use of Transderm-V. Aviat Space Environ Med. 1982;53(11):1129–30.

    PubMed  CAS  Google Scholar 

  6. Firth AY, Walker K. Visual side-effects from transdermal scopolamine (hyoscine). Dev Med Child Neurol. 2006;48(2):137–8.

    Article  PubMed  Google Scholar 

  7. Flora PG. Accidental cycloplegia with Transderm-V therapy. Can J Ophthalmol. 1982;17(3):135.

    PubMed  CAS  Google Scholar 

  8. McCrary JA III, Webb NR. Anisocoria from scopolamine patches. JAMA. 1982;248(3):353–4.

    Article  PubMed  Google Scholar 

  9. Lin YC. Anisocoria from transdermal scopolamine. Paediatr Anaesth. 2001;11(5):626–7.

    Article  PubMed  CAS  Google Scholar 

  10. Thompson HS, Newsome DA, Loewenfeld IE. The fixed dilated pupil. Sudden iridoplegia or mydriatic drops? A simple diagnostic test. Arch Ophthalmol. 1971;86(1):21–7.

    PubMed  CAS  Google Scholar 

  11. Naranjo CA, Busto U, Sellers EM, Sandor P, Ruiz I, Roberts EA, et al. A method for estimating the probability of adverse drug reactions. Clin Pharmacol Ther. 1981;30(2):239–45.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Hervé Javelot.

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Vasselon, P., Weiner, L., Rossi-Pujo, F. et al. Unilateral mydriasis due to scopolamine patch. Int J Clin Pharm 33, 737–739 (2011). https://doi.org/10.1007/s11096-011-9555-5

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  • DOI: https://doi.org/10.1007/s11096-011-9555-5

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