Shakeel Muhammad, Trinidade Aaron, Khan Imran, Johnston Graham, Hussain Akhtar
Department of ENT, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK.
J Coll Physicians Surg Pak. 2013 Jul;23(7):515-6.
We report and explain unilateral pupillary dilatation following routine septoplasty and trimming of inferior turbinates. The unilateral pupillary dilatation was caused by inadvertent instillation of sympathomimetic, (xylometazoline hydrochloride) in the eye during preparation for nasal surgery. The effect was short-lived and the patient made a full recovery. Unilateral pupillary dilatation after sinonasal surgery can be alarming due to the possibility of injury to the globe and intracranial haemorrhage but can also be explained by the mydriatic effect of the sympathomimetic nasal drops and sprays used to decongest the nose. Such possibility should be borne in mind and would help to explain and reduce the anxiety and avoid unnecessary investigations.
我们报告并解释了在常规鼻中隔成形术和下鼻甲修整术后出现的单侧瞳孔散大情况。单侧瞳孔散大是由于在鼻腔手术准备过程中，不慎将拟交感神经药（盐酸赛洛唑啉）滴入眼内所致。这种影响是短暂的，患者已完全康复。鼻窦手术后出现单侧瞳孔散大可能会令人担忧，因为存在眼球损伤和颅内出血的可能性，但也可以用用于减轻鼻腔充血的拟交感神经滴鼻剂和喷雾剂的散瞳作用来解释。应牢记这种可能性，这将有助于解释并减轻焦虑，避免不必要的检查。
