Tropicamide and anaphylaxis: A case report
Open Access
- 1 January 2021
- journal article
- research article
- Published by Medknow in Saudi Journal of Ophthalmology
- Vol. 35 (1), 71-72
- https://doi.org/10.4103/1319-4534.325779
Abstract
A 6-month-old boy was brought to the ophthalmology outpatient clinic of our hospital by his parents with the suspicion of esotropia of his left eye. He was able to follow the objects, pupillary light reactions were normal, orthophoric in primary position with corneal light reflex (Hirschberg) test, ductions and versions were normal in all gaze positions. One drop of tropicamide (1%) was instilled in both eyes of the infant for cycloplegic retinoscopy and fundus examinations. After 10 min, anaphylaxis, respiratory and circulatory failure developed. He was immediately examined by the pediatrician, and emergency code was announced. At the 5th min of treatment, he regained consciousness, his respiratory and circulatory symptoms started to improve, and blood pressure returned to normal. In this case report, we aim to point out that tropicamide may rarely lead to life-threatening complicationsKeywords
This publication has 7 references indexed in Scilit:
- Efficiency and safety of phenylephrine and tropicamide used in premature retinopathy: a prospective observational studyBMC Pediatrics, 2019
- Retinopathy of prematurity screening leading to cardiopulmonary arrest: fatal complication of a benign procedureBMJ Case Reports, 2016
- Adverse reactions following routine anticholinergic eye drops in a paediatric population: an observational cohort studyBMJ Open, 2015
- Systemic toxicity of topical cyclopentolate eyedrops in a childEye, 2012
- The influence of drop size of cyclopentolate, phenylephrine and tropicamide on pupil dilatation and systemic side effects in infantsActa Ophthalmologica Scandinavica, 1997
- Effects and Side Effects of Mydriatic Eyedrops in NeonatesEuropean Journal of Ophthalmology, 1996
- Systemic Reaction to TropicamideAmerican Journal of Ophthalmology, 1969