Cosmetic Mydriasis

Köll, Birgit; Vynogradova, Iryna; Heckmann, Josef G.

doi:10.1016/j.jemermed.2013.08.125

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Similarly, the contact with some types of cosmetics, medical patches with anticholinergics, or even flea spray can cause a unilateral wide pupil. [ 26 ] In this case, the pilocarpine test (0.1%) is negative and does not lead to constriction of the pupil.…”

Section: Introductionmentioning

confidence: 94%

Neuro-Ophthalmology at the Bedside: A Clinical Guide

Heckmann

Vachalová

Läng

et al. 2018

Journal of Neurosciences in Rural Practice

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Neuro-ophthalmological signs and symptoms are common in the emergency department but are a frequent source of diagnostic uncertainties. However, neuro-ophthalmological signs often allow a precise neuro-topographical localization of the clinical problem. A practical concept is presented how to perform a neuro-ophthalmological examination at the bedside and to interpret key findings under the aspect of emergency medicine with limited resources.

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Section: Introductionmentioning

confidence: 94%

Neuro-Ophthalmology at the Bedside: A Clinical Guide

Heckmann

Vachalová

Läng

et al. 2018

Journal of Neurosciences in Rural Practice

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“…If the difference is greater in bright lighting conditions, as in this case, the larger pupil is abnormal. The main differential diagnosis to consider for a large pupil is a third nerve palsy, pharmacological mydriasis (including cosmetic and botanic mydriasis),3–5 tonic pupil and local iris processes, such as iris sphincter tears from trauma. Slit-lamp examination will reveal any signs of trauma or inflammation, which were not present in this case.…”

Section: Differential Diagnosismentioning

confidence: 99%

Adie’s tonic pupil presenting with unilateral photophobia successfully treated with dilute pilocarpine

Batawi

Micieli

2020

BMJ Case Rep

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A 40-year-old healthy man presented with a 4-month history of photophobia, blurred vision and a right dilated pupil. Examination revealed a right pupil that was not reactive to light but constricted strongly to a near target and slowly redilated when he looked back in the distance. Pharmacological testing with dilute pilocarpine 0.1% resulted in constriction of the right pupil but no change in the left pupil. This also resulted in resolution of his photophobia and blurry vision. Neurological examination was otherwise normal, and a diagnosis of Adie’s tonic pupil was made. The main differential diagnosis to consider for a large pupil is a third nerve palsy, pharmacological mydriasis, tonic pupil and local iris processes, such as iris sphincter tears from trauma. Knowledge of the key features of these conditions can avoid wasted resources from unnecessary testing. Dilute pilocarpine 0.1% three times a day can be considered as a pharmacological therapy for symptomatic relief.

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Atropine/epinephrine/tyramine

2015

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Cosmetic Mydriasis

Cited by 3 publications

References 10 publications

Neuro-Ophthalmology at the Bedside: A Clinical Guide

Neuro-Ophthalmology at the Bedside: A Clinical Guide

Adie’s tonic pupil presenting with unilateral photophobia successfully treated with dilute pilocarpine

Atropine/epinephrine/tyramine

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