Transient anisocoria in a patient treated with nebulized ipratropium bromide

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Transient anisocoria in a patient treated with nebulized ipratropium bromide

Purpose We present a case report of a 44-year old female patient with complicated pneumonia who developed anisocoria after treatment with inhaled ipratropium bromide. Discontinuation of ipratropium bromide treatment led to complete resolution of anisocoria. Observation A 44-year old female patient was admitted to the Department of Pulmonology due to high body temperature (40.0 °C), coughing a...

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Anisocoria with high dose ipratropium bromide inhaler.

I bromide is an atropine derived anti-cholinergic bronchodilator used in obstructive lung diseases. Anisocoria mainly caused by the direct effect of nebulized ipratropium bromide via a leaking mask has been well described in the literature.1,2 However, anisocoria induced by systemic absorption after long-term use of high dose ipratropium inhaler is not well reported. We report a case of a 24-ye...

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Effect of nebulized ipratropium bromide on intraocular pressures in children.

STUDY OBJECTIVE To evaluate the effects of nebulized ipratropium bromide on intraocular pressures and pupillary responses in children with asthma. DESIGN A double-blind, randomized, crossover study. SETTING Children's Hospital of Winnipeg, University of Manitoba. PATIENTS OR PARTICIPANTS Age 6 to 17 years with asthma. INTERVENTION Nebulized ipratropium bromide added to albuterol sulfate...

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Ipratropium-bromide-induced acute anisocoria in the intensive care setting due to ill-fitting face masks.

Anisocoria, or unequal pupil size, may be an early sign of an impending neurologic emergency in any patient.1 Acute unilateral mydriasis is often suggestive of a lifethreatening condition affecting cranial nerve function, such as tumor compression, intracranial hypertension with impending uncal herniation, expanding intracranial aneurysm, or hemorrhage. Benign mydriasis can be due to prior trau...

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Ipratropium bromide: are patients treated with optimal therapy?

A double-blind crossover placebo controlled study was performed on 20 patients with stable chronic asthma, in order to obtain dose response data to ipratropium bromide (40, 80, 200 micrograms) given by metered dose inhaler. The use of the 200 micrograms dose gave a significantly greater peak effect and duration of action than the recommended standard therapeutic dose of 40 micrograms. There wer...

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ژورنال

عنوان ژورنال: American Journal of Ophthalmology Case Reports

سال: 2017

ISSN: 2451-9936

DOI: 10.1016/j.ajoc.2017.04.005