… Emergency physicians (EPs) should be able to distinguish between benign anisocoria and
… to pharmacological mydriasis, a benign cause of anisocoria. In patients with anisocoria that …

… Pharmacological anisocoria is a rare but benign … ipratropium bromide-associated anisocoria
during nebulizer treatment. Hypotheses regarding the possible causes of anisocoria are …

… recent usage of inhaled ipratropium bromide, we can suspect of pharmacologic pupillary
dilation due to the ipratropium bromide justifiably. If exposure to ipratropium bromide is unclear, …

… cause anisocoria. This case report emphasises Ipratropium bromideinduced anisocoria. …
3Here the patient develops anisocoria probably due to ipratropium bromide and after …

… are well known to cause pharmacologic pupillary dilation by direct or indirect contamination
of the eye. Ipratropium bromide was not considered a cause of anisocoria until 1986 when …

… a result of nebulized ipratropium with unintentional contact … pharmacological muscarinic
blockade if pilocarpine has no miotic effect. Additionally, the subsequent resolution of anisocoria …

… to ipratropium … of ipratropiumbromide-induced anisocoria have rarely been reported, and
we include a review of the English-language literature.Ipratropium bromide-induced anisocoria …

… Anisocoria is a common clinical challenge and can be due to benign (eg, pharmacologic
anisocoria, iris … Although pharmacologic dilation and anisocoria from topical, dermatologic, …

… cal agents can cause anisocoria. Koehler described pharmacological anisocoria due to the
… The first report of ipratropium-bromide induced anisocoria was published in 1986 (4). Most …

… Furthermore, to rule out the pharmacological causes, patient’s medication administration …
ipratropium bromide right before developing anisocoria. Ipratropium bromide is well known …