Article Text

Download PDFPDF
Images in paediatrics
Case of a fixed and dilated pupil: acute anisocoria secondary to aerosol ipratropium bromide
  1. Laura Royce1,
  2. Chris Schulz2,
  3. Nick Brown3
  1. 1 Department of General Paediatrics, Salisbury NHS Foundation Trust, Odstock Road, Salisbury, SP2 8BJ, UK
  2. 2 Department of Ophthalmology, Salisbury NHS Foundation Trust, Salisbury, UK
  3. 3 Department of Paediatrics, Salisbury District Hospital, Salisbury, UK
  1. Correspondence to Dr Laura Royce, Community Child Health, Solent NHS Trust- west, Adelaide Centre Level 2, Western Community Hospital Campus, William MacCloed Way, Millbrook, Southampton, SO16 4XE, UK; l_royce{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 2-year-old boy was presented with acute anisocoria (figure 1). He had a history of DiGeorge syndrome, with right-sided perisylvian polymicrogyria, left-sided hemiplegia and seizure disorder. He was a known asthmatic, for which he was on ipratropium bromide through a spacer. His left pupil was maximally dilated and unreactive. Right pupillary reactions were normal. Acuity was 6/12 bilaterally with full extraocular movements, …

View Full Text


  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.