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Temporary Unilateral Mydriasis due to Contact Lens-Mediated Exposure to Topical Anticholinergic Agents for the Treatment of Primary Axillary Hyperhidrosis.

Background: Concern about appearance, especially among teenagers and young adults, is ever-increasing throughout the world. One consequence is increased use of antiperspirants and contact lenses. Case Report: One evening, a concerned mother called reporting that her daughter had a fully dilated pupi...

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Published in:Optometry & Visual Performance Vol. 9; no. 3; pp. 150 - 155
Main Author: Baird, Richard
Format: case study pictorial Journal Article
Published: Optometric Extension Program Sep2021
Online Access:View this record in EBSCOhost
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      jtl: Optometry & Visual Performance
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      dt: Sep2021
      vid: 9
      iid: 3
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Temporary Unilateral Mydriasis due to Contact Lens-Mediated Exposure to Topical Anticholinergic Agents for the Treatment of Primary Axillary Hyperhidrosis.
      aug:
        au: Baird, Richard
        affil: Edwards Air Force Base, California
      sug:
        subj:
          Eye Diseases Diagnosis
          Eye Diseases Drug Therapy
          Contact Lenses Adverse Effects
          Cholinergic Antagonists Adverse Effects
          Hyperhidrosis Drug Therapy
          Eye Diseases Etiology
          Female
          Adolescence
          Photosensitivity Disorders Etiology
          Headache Etiology
          Telehealth
          Pupil
          Adolescent: 13-18 years
          Female
      ab: Background: Concern about appearance, especially among teenagers and young adults, is ever-increasing throughout the world. One consequence is increased use of antiperspirants and contact lenses. Case Report: One evening, a concerned mother called reporting that her daughter had a fully dilated pupil OD. Due to COVID-19 restrictions, a virtual exam was conducted. The patient was alert, with neither systemic nor neurologic symptoms. The patient recalled using Qbrexza wipes (glycopyrronium tosylate 2.4%) that morning and--without washing her hands--inserting her contact lenses. (Acuvue Oasys). The patient had smooth extraocular motilities and full confrontation visual fields. Vision was fairly equal, with relative near/far blur OD. The OD pupil was fixed, while the OS responded appropriately. Other ocular structures were normal. The pupil remained dilated for six more days, not recovering until day nine. The patient noted photosensitivity and headache until the eye returned to normal. Glycopyrronium is a topical anticholinergic for axillary hyperhidrosis (sweaty underarms). Conclusion: A reversable mydriasis potential exists when patients use anticholinergic formulas such as glycopyrronium. Strict hand hygiene is necessary with concurrent contact lens use.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        Journal Article
      ougenre: Article
    language: English
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