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[Acute psychosis caused by poisoning with cyclopentolate]
Summary
Cyclopentolate eye drops can cause psychotic attacks, even in young patients. While rare, systemic toxicity is possible across all ages, highlighting the need for careful administration.
Area of Science:
- Ophthalmology
- Pharmacology
- Psychiatry
Background:
- Cyclopentolate is commonly used for diagnostic eye examinations.
- Systemic side effects of topical cyclopentolate are rare but documented.
Observation:
- A 17-year-old female experienced an acute psychotic attack following the local application of 1.0% cyclopentolate in both eyes.
Findings:
- Systemic toxicity from cyclopentolate can occur in any age group, irrespective of prior tolerance.
- Toxicity is not specific to patients with pre-existing neurological or psychiatric conditions.
Implications:
- Despite rare systemic toxicity, cyclopentolate remains a valuable diagnostic agent due to its rapid and short-lived cycloplegic effects.
- Clinicians should be aware of potential systemic side effects, including psychiatric reactions, even with topical administration.