BLAKE R. SHAW, M.D.; RICHARD A. LEWIS, M.D.
To the editor: Steinmann and colleagues (1) have reviewed the benefits and limitations of funduscopic screening by the primary care practitioner and have shown that instilling one drop of 1% tropicamide facilitates the funduscopic examination.
Inducing an attack of angle-closure glaucoma is rare and tangential illumination of the iris will identify many patients who may be prone to an angle-closure attack; the fear of inducing angle-closure should not deter the physician from pupillary dilation.
We emphasize, however, the possibility of provoking an elevation of intraocular pressure in patients with open-angle glaucoma. In patients with open angle glaucoma, we
SHAW BR, LEWIS RA. Pupillary Dilation and Tropicamide. Ann Intern Med. 1988;108:775–776. doi: 10.7326/0003-4819-108-5-775_2
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Published: Ann Intern Med. 1988;108(5):775-776.
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