Case Report of postoperative unilateral mydriasis following general anesthesia


Ali Akbar Jaefarian 1 , *

1 Anesthesia dept, Shafa Yahyaien Hospital, Iran University of medical sciences and health services, Tehran, Iran.

How to Cite: Jaefarian A A. Case Report of postoperative unilateral mydriasis following general anesthesia, Zahedan J Res Med Sci. 2002 ; 4(2):e95334.


Zahedan Journal of Research in Medical Sciences: 4 (2); e95334
Published Online: June 06, 2002
Article Type: Case Report
Received: May 01, 2002
Accepted: May 21, 2002


Unilateral mydriasis (dilation of one pupil) after anesthesia and operation is one of
the important problems. This problem may be due to cerebral complication trauma on
eye due to operation, drug effect, deep anesthesia and etc.
Physical examinations and other work up must be done for detect of this problem. In
some causes this complication is reversible and in other causes such as eye or cerebral
complication it is important.
In this report a 52 years man with ASA I. (with out disease or with mild disease)
patient is presented that has endoscopic surgery for nasal and sinus of maxilla an
ethmoid with general anesthesia. And involved postoperative right mydriasis. After
complete award patient complained on right blurred vision. Essential work up was done
with ophthalmologist and no problem reports. After six hours pupil return to normal
size and next day patient with out any complication was discharged. Cause of this
complication was accidentally enter’s adrenaline mixed to local anesthetic drug in right


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