RICHARD A. BIENIA, M.D.; MARIE SMITH, PHARM.D.; THOMAS PELLEGRINO, M.D.
To the editor: Scopolamine-impregnated disks (Transderm-V; Ciba-Geigy Corp., Summit, New Jersey) placed behind the ear have become a popular method for treating motion sickness. We recently treated a patient who developed a unilateral fixed and dilated pupil from inadvertent finger to eye contamination by scopolamine. If not recognized promptly this condition may result in expensive, perhaps invasive neurologic testing and no small amount of anxiety for the patient.
A 39-year-old man presented for evaluation of a unilateral fixed and dilated pupil and slightly blurred vision that he had noticed shortly before leaving on an afternoon sailing trip. The patient was
BIENIA RA, SMITH M, PELLEGRINO T. Scopolamine Skin-Disks and Anisocoria. Ann Intern Med. ;99:572–573. doi: 10.7326/0003-4819-99-4-572_2
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Published: Ann Intern Med. 1983;99(4):572-573.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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