A diagnostic challenge: Dilated pupil

Hale Z.Batur Caglayan; Ilksen A. Colpak; Tulay Kansu

doi:10.1097/ICU.0000000000000005

A diagnostic challenge: Dilated pupil

Hale Z.Batur Caglayan
, Ilksen A. Colpak
, Tulay Kansu

Division of Neurology

Research output: Contribution to journal › Review article › peer-review

26 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: Dilated pupil is a diagnostic challenge encountered by neurologists and ophthalmologists. The aim of this review is to provide an overview of the current data and guidelines concerning dilated pupils. RECENT FINDINGS: The majority of recent reports on dilated pupils are indicative of several medical conditions that require evaluation. The topical synthetic parasympatholytic agents; local contamination of antihistamines with their antimuscarinic effects; atropine, scopolamine, and tropane alkaloids in all species of Datura plants may produce mydriasis. SUMMARY: The causes of pupillary dilatation can be unilateral, bilateral, and transient. The clinical approach to dilated pupils requires stepwise evaluation, and based on the findings, unnecessary and costly procedures can be avoided.

Original language	English
Pages (from-to)	550-557
Number of pages	8
Journal	Current Opinion in Ophthalmology
Volume	24
Issue number	6
DOIs	https://doi.org/10.1097/ICU.0000000000000005
Publication status	Published - Nov 2013

Keywords

Iris
Mydriasis
Oculomotor nerve palsy
Pupil
Tonic pupil

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10.1097/ICU.0000000000000005

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title = "A diagnostic challenge: Dilated pupil",

abstract = "PURPOSE OF REVIEW: Dilated pupil is a diagnostic challenge encountered by neurologists and ophthalmologists. The aim of this review is to provide an overview of the current data and guidelines concerning dilated pupils. RECENT FINDINGS: The majority of recent reports on dilated pupils are indicative of several medical conditions that require evaluation. The topical synthetic parasympatholytic agents; local contamination of antihistamines with their antimuscarinic effects; atropine, scopolamine, and tropane alkaloids in all species of Datura plants may produce mydriasis. SUMMARY: The causes of pupillary dilatation can be unilateral, bilateral, and transient. The clinical approach to dilated pupils requires stepwise evaluation, and based on the findings, unnecessary and costly procedures can be avoided.",

keywords = "Iris, Mydriasis, Oculomotor nerve palsy, Pupil, Tonic pupil",

author = "Caglayan, \{Hale Z.Batur\} and Colpak, \{Ilksen A.\} and Tulay Kansu",

year = "2013",

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doi = "10.1097/ICU.0000000000000005",

language = "English",

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pages = "550--557",

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TY - JOUR

T1 - A diagnostic challenge

T2 - Dilated pupil

AU - Caglayan, Hale Z.Batur

AU - Colpak, Ilksen A.

AU - Kansu, Tulay

PY - 2013/11

Y1 - 2013/11

N2 - PURPOSE OF REVIEW: Dilated pupil is a diagnostic challenge encountered by neurologists and ophthalmologists. The aim of this review is to provide an overview of the current data and guidelines concerning dilated pupils. RECENT FINDINGS: The majority of recent reports on dilated pupils are indicative of several medical conditions that require evaluation. The topical synthetic parasympatholytic agents; local contamination of antihistamines with their antimuscarinic effects; atropine, scopolamine, and tropane alkaloids in all species of Datura plants may produce mydriasis. SUMMARY: The causes of pupillary dilatation can be unilateral, bilateral, and transient. The clinical approach to dilated pupils requires stepwise evaluation, and based on the findings, unnecessary and costly procedures can be avoided.

AB - PURPOSE OF REVIEW: Dilated pupil is a diagnostic challenge encountered by neurologists and ophthalmologists. The aim of this review is to provide an overview of the current data and guidelines concerning dilated pupils. RECENT FINDINGS: The majority of recent reports on dilated pupils are indicative of several medical conditions that require evaluation. The topical synthetic parasympatholytic agents; local contamination of antihistamines with their antimuscarinic effects; atropine, scopolamine, and tropane alkaloids in all species of Datura plants may produce mydriasis. SUMMARY: The causes of pupillary dilatation can be unilateral, bilateral, and transient. The clinical approach to dilated pupils requires stepwise evaluation, and based on the findings, unnecessary and costly procedures can be avoided.

KW - Iris

KW - Mydriasis

KW - Oculomotor nerve palsy

KW - Pupil

KW - Tonic pupil

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DO - 10.1097/ICU.0000000000000005

M3 - Review article

C2 - 24100369

AN - SCOPUS:84886595790

SN - 1040-8738

VL - 24

SP - 550

EP - 557

JO - Current Opinion in Ophthalmology

JF - Current Opinion in Ophthalmology

IS - 6

ER -

A diagnostic challenge: Dilated pupil

Abstract

Keywords

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