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Published on: February 15, 2022
[Acute toxic anisocoria]
K El Ouazzani Chahdi1, M Benharbit, I Mansouri
1Service d'ophtalmologie A, hôpital des spécialités, CHU Ibn Sina, Rabat, Maroc. k.elouazzani@hotmail.fr
Journal Francais D'Ophtalmologie
|October 22, 2011
Summary
Accidental eye exposure to Angel's trumpet sap caused sudden pupil dilation (mydriasis) and rapid heart rate in a healthy patient. This case highlights the plant's toxic effects and the importance of detailed patient history in diagnosing such incidents.
Area of Science:
- Ophthalmology
- Toxicology
- Botany
Background:
- Angel's trumpet (Datura suaveolens) contains natural alkaloids with anticholinergic properties.
- Ocular exposure to plant saps can lead to various adverse effects.
Observation:
- A 24-year-old man presented with acute, unilateral mydriasis (pupil dilation).
- Detailed history revealed accidental ocular instillation of Angel's trumpet sap.
Findings:
- The patient exhibited symptoms consistent with parasympatholytic intoxication.
- Clinical presentation and history confirmed toxic etiology of anisocoria (unequal pupils).
Implications:
- Sudden mydriasis can be a sign of toxic exposure, necessitating thorough patient history.
- Angel's trumpet sap is a potential cause of acute mydriasis and systemic effects like tachycardia.
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