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Systolic hypertension as side effect of topical low dose atropine drops
Barry N Wasserman1, Erik Massenzio1, Karen Lee1
1Wills Eye Hospital, Pediatric Ophthalmology and Strabismus Service, Thomas Jefferson University, Philadelphia, PA, USA.
Purpose:
To present a case of increased systemic hypertension and pupil dilation related to low dose atropine eyedrops.
Observations:
A thirteen-year-old male with progressive myopia received atropine 0.05% ophthalmic drops to slow down myopia progression. He exhibited systemic systolic hypertension, photophobia, and bilateral nonreactive mydriasis. The atropine drops were discontinued, and his blood pressure and pupillary function normalized.
Conclusions And Importance:
This case demonstrates sensitivity to low dose atropine with increased systemic blood pressure and pupillary dilation.
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