Document Detail

Case report: unilateral mydriasis following nasal cautery.
MedLine Citation:
PMID:  21158576     Owner:  NLM     Status:  In-Process    
We report a case of unilateral mydriasis following nasal electrocautery presumed to be the result of retrograde flow of adrenaline and/or xylometazoline hydrochloride (Otrivine) through the nasolacrimal duct into the eye. We review the literature and highlight the importance of correct interpretation of finding a dilated pupil post-operatively. To our knowledge. we report the first such case involving xylometazoline hydrochloride and also following nasal electrocautery. Unilateral mydriasis is alarming after nasal surgery but must be interpreted with caution. During minimally invasive procedures it is likely to be due to the effects of topical medication to the nose rather than surgical trauma.
Nigel K F Koo Ng; Nick Calder
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  29     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  England    
Other Details:
Languages:  eng     Pagination:  346-7     Citation Subset:  IM    
Department of Otorhinolaryngology, Head and Neck Surgery, Monklands Hospital, Airdrie, UK.
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