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[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
PubMed
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.

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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.