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Canadian Journal of Anesthesia, Vol 32, 422-424, Copyright © 1985 by Canadian Anesthesiologists' Society

Anisocoria after Anaesthesia

JOSEPH A. STIRT MD1, JOHN R. SHUPTRINE MD1, CARY S. STERNICK MD1, and GREGG A. KORBON MD1

1 Department of Anaesthesiology, University of Virginia Medical Center, Charlottesville, VA

Address correspondence to: Dr. Joseph A. Stirt, Department of Anesthesiology, Box 238, University of Virginia Medical Center, Charlottesville, VA 22908, U.S.A.

Unequal pupil size following anaesthesia is an unsettling finding, suggestive of acute, perioperative intracranial pathology. We report here an unusual cause of anisocoria after anaesthesia: unintended entrance of phenylephrine nasal vasoconstrictor solution into the eye.

Key Words: ANAESTHESIA: paediatric • COMPLICATIONS: anisocoria • SYMPATHETIC NERVOUS SYSTEM: phenylephrine, mydriasis






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Copyright © 1985 by the Canadian Anesthesiologists' Society.