Unilateral pupillary dilatation following septoplasty: cause for concern? | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2013]

Author(s):

1. Muhammad Shakeel: Department of ENT, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK

2. Aaron Trinidade: Department of ENT, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK

3. Imran Khan: Department of ENT, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK

4. Graham Johnston: Department of Anaesthesia, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK

5. Akhtar Hussain: Department of ENT, Aberdeen Royal Infirmary, Forresthill, Aberdeen, UK

Abstract:

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.

Page(s): 515-516

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 23, Issue: 7, Year: 2013

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