Letters A fixed dilated pupil

Pilocarpine: better than a scan

BMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39465.496204.3A (Published 24 January 2008) Cite this as: BMJ 2008;336:171
  1. Fion D Bremner, consultant neuro-ophthalmologist
  1. 1National Hospital for Neurology and Neurosurgery, London WC1N 3BG
  1. fion.bremner{at}uclh.nhs.uk

    Williams et al describe a patient with a fixed dilated pupil after using a prescription hand cream with antimuscarinic properties.1

    I was recently referred a 34 year old man admitted for investigation of an asymptomatic fixed dilated left pupil. The pupil abnormality was spotted by an observant staff nurse on the paediatric ward where he was visiting his daughter. He …

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