Case report: Unilateral mydriasis after anesthesia
Keywords:
mydriasis, pupil, iris, neurology, ophthalmology, complication
Abstract
A five year old male boy weighing 13 kg who had dental cavities was scheduled for a complete dental treatment. When the protective tape of the eyes was removed, a fixed right Mydriasis without any light response was observed, without any other changes in the physical examination. On the fourth day, he was assessed by neurology presenting an improvement and the pupillary size. On the fifth day the pupil returned to normal size without any sequela according to family information. A pediatric anesthesia case with unilateral Mydriasis lasting one week after surgery is presented. The differential diagnostic processes are discussed.
References
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13. Serafin WE. Fármacos utilizados para el tratamiento del asma. En: Goodman and Gilman, editores. Las bases farmacológicas de la terapéutica. 9ª edición. México DF:: Mc Graw-Hill Interamericana; 1996. p. 713.
14. Vleming E, Gutiérrez-Ortiz C, Teus M. Anisocoria producida por bupropion en paciente migrañosa. Arch Soc Esp Oftalmol. 2007;82:521-2.
15. Eggenber E. Anisocoria. eMedicine neurology. (Online) 2009 Aug (Aug 27, 2009); http://www.emedicine.medscape.com/article/115857/diagnosis
16. Thompson S, Pilley SF. Unequal pupils. A flow chart for sorting out the anisocorias. Surv Ophtalmol. 1976;21:45-8.
2. Sharma NS, Doi JL, Papalkar DJ. Pharmacological mydriasis secondary to ipratropium bromide: a cause of unilateral dilated pupil. Clin Neurosc. 2008;15:320-1.
3. Jindal M, Sharma N, Parekh N. Intraoperative dilated pupil during nasal polypectomy. Eur Arch Otorhinolaringol. 2009;266:1035-7.
4. Balaguer-Santamaría JA, Escofet-Soteras C, Chumbe-Soto G. Midriasis unilateral benigna episódica. Rev Neurol. 2000;31:743-5.
5. Prielipp RC. Unilateral mydriasis after induction of anaesthesia. Can J Anaesth. 1994;41:140-3.
6. López R, Sierra J, Gutiérrez D. Disfunción episódica de pupila. Vox Paediatrica. 2000;8:57-8.
7. Jovanovic P, Hentova-Sencanic P. Unilateral iris plateau syndrome alter the use of ecstasy. Vojnosanit Pregl. 2009;66:487-9.
8. Pujol P, Pina B. Protocolos en urgencias oftalmológicas. Ann Oftalmol. 2007;15:238-69.
9. Jacobson DM. Benign episodic unilateral mydriasis. Clinical characteristic. Ophtalmology. 1995;102:1623-7.
10. Holmgreen WC, Baddour HM, Tilson HB. Unilateral mydriasis during general anaesthesia. J Oral Surg. 1979;37:740-2.
11. Openshaw H. Unilateral mydriasis from ipratopium in transplant patients. neurology. 2006;67:914.
12. Hoffman BB, Lefkowitz RJ. Catecolaminas, fármacos simpaticomiméticos y antagonistas de los receptores adrenérgicos. En: Goodman and Gilman, editores. Las bases farmacológicas de la terapéutica. 9ª edición. Mexico DF: Mc Graw-Hill Interamericana; 1996. p. 237-8.
13. Serafin WE. Fármacos utilizados para el tratamiento del asma. En: Goodman and Gilman, editores. Las bases farmacológicas de la terapéutica. 9ª edición. México DF:: Mc Graw-Hill Interamericana; 1996. p. 713.
14. Vleming E, Gutiérrez-Ortiz C, Teus M. Anisocoria producida por bupropion en paciente migrañosa. Arch Soc Esp Oftalmol. 2007;82:521-2.
15. Eggenber E. Anisocoria. eMedicine neurology. (Online) 2009 Aug (Aug 27, 2009); http://www.emedicine.medscape.com/article/115857/diagnosis
16. Thompson S, Pilley SF. Unequal pupils. A flow chart for sorting out the anisocorias. Surv Ophtalmol. 1976;21:45-8.
How to Cite
1.
Lora C. Case report: Unilateral mydriasis after anesthesia. Colomb. J. Anesthesiol. [Internet]. 2010 Jan. 1 [cited 2024 May 6];38(1):102-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/313
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Published
2010-01-01
How to Cite
1.
Lora C. Case report: Unilateral mydriasis after anesthesia. Colomb. J. Anesthesiol. [Internet]. 2010 Jan. 1 [cited 2024 May 6];38(1):102-9. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/313
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Case Report / Case Series
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