Abstract: A 5-year-old boy reports to the hospital for follow-up with a history of corneal injury. He was advised to get a dilated eye examination with 1% cyclopentolate hydrochloride eye drops instillation. After 15 minutes of the procedure, the mother noticed abnormal behaviour in the child. Upon admission to the emergency department with restlessness, carphologia, mouth opening, talking to himself and unresponsive to mother`s commands, his pupils were dilated 6-8mm with no reflex, heart rate was 100 beats/min, respiratory rate was 24 cycles/min. No convulsions, loss of consciousness, altered gait, fever. Serum glucose level and blood count were normal and no sensory deficits or cerebellar signs. Patient was referred to psychiatry department followed where he was identified with toxicity symptoms like delirium, hallucination, agitation, tachycardia, altered memory, pupils non-reactive to light. Since delirium symptoms gradually decreased, brain CT was not performed. The child was managed with intravenous fluid. Recovery was spontaneous within 8 hours. The pupils remained dilated for three days. He was discharged after 1 day.
Keywords: Cyclopentolate Delirium Toxicity Psychosis Mydriatics.
Title: Topical Cyclopentolate Induced Acute Psychiatric Side Effects in a Paediatric Patient
Author: Sunaina Sunil Anand
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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