Jannun D R, Mickel S F
Chest. 1986 Jul;90(1):148-9. doi: 10.1378/chest.90.1.148.
The use of aerosolized anticholinergics has not previously been emphasized as a cause of pharmacologic pupillary dilation. The diagnosis can be confirmed by instillation of 1 percent pilocarpine hydrochloride in the affected eye, thereby preventing needless neurologic studies and evaluation. We report one patient who had transient asymmetric pupillary dilation secondary to aerosolized anticholinergic treatment. Also, we looked at the incidence of the above complication in 40 outpatients who were treated for acute asthmatic exacerbation.
雾化吸入抗胆碱能药物此前未被着重视为药物性瞳孔散大的一个病因。通过在患眼滴入1%的盐酸毛果芸香碱可确诊，从而避免不必要的神经学检查和评估。我们报告了1例因雾化吸入抗胆碱能药物治疗继发短暂性不对称瞳孔散大的患者。此外，我们观察了40例接受急性哮喘加重期治疗的门诊患者中上述并发症的发生率。
