We then applied 0.125% and 1% pilocarpine to exclude oculomotor nerve palsy however, it could not be ruled out as constriction of pupil to 3.1 mm in the right eye was observed after applying 1% pilocarpine. Furthermore, as we did not observe dilatation lag in the smaller pupil, we applied 1% apraclonidine in the left eye in order to rule out Horner syndrome and did not observe dilatation of the pupil. The patient neither did present with facial anhidrosis nor did she present with ptosis. The pupil size was 5.0 mm in the right eye and 2.0 mm in the left eye, and the extraocular muscles of both eyes were intact. The anterior chambers in both eyes were unremarkable on slit-lamp examination. Corrected visual acuities was 20/20 in both eyes, and the intraocular pressures were 20 and 18 mm Hg in the right and left eye, respectively. Patient concerns:Ī 35-year-old woman with no past ophthalmologic history presented to the ophthalmology department complaining of a dilated pupil in the right eye. We report a case of anisocoria that occurred after contamination with a scopolamine transdermal patch, and introduce a diagnostic approach for anisocoria patients. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The authors have no conflicts of interest to disclose.ĭata sharing not applicable to this article as no datasets were generated or analyzed during the current study. This research was supported by the National Research Foundation of Korea (NRF), funded by the Ministry of Science and ICT (2018M3A9E8078812). Anisocoria after scopolamine transdermal patch contamination: a case report. ∗Correspondence: Jin-Ho Joo, Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, # 892 Dongnam-ro, Gangdong-gu, Seoul 05278, Korea (e-mail: ).Ībbreviations: ANS = autonomic nervous system, MRI = magnetic resonance imaging, MRA = magnetic resonance angiography. Department of Ophthalmology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
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