Weckerle P E, Voykov B
Universitätsaugenklinik Tübingen, Abteilung für Pathophysiologie des Sehens und Neuroophthalmologie, Tübingen.
Klin Monbl Augenheilkd. 2005 May;222(5):437-9. doi: 10.1055/s-2005-857940.
A 46-year-old patient was referred as an emergency case to our neuro-ophthalmologic department, because her left pupil was mydriatic and unreactive since the morning of the same day. This pupil did not constrict normally on application of 1 % pilocarpin eye drops. Thus the diagnosis of a medication-induced mydriasis was established. The causative agent proved to be an aerosol, containing ipratropium bromide used for asthma treatment.
一名46岁患者作为急诊病例被转诊至我们的神经眼科科室，因为自当天上午起她的左侧瞳孔散大且无反应。使用1%毛果芸香碱滴眼液时，该瞳孔不能正常收缩。因此确诊为药物性瞳孔散大。事实证明，致病因素是一种用于治疗哮喘的含有异丙托溴铵的气雾剂。
