A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine
Topical ophthalmic medications are frequently prescribed by eye care professionals, including optometrists and nurses with specialized training. However, these medications can lead to systemic side effects, particularly in elderly patients who may have multiple underlying health issues. We report th...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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Series: | Delhi Journal of Ophthalmology |
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Online Access: | https://journals.lww.com/10.4103/DLJO.DLJO_179_24 |
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author | Mariya Farooqui Madhuri Venigalla Malleswari Medikonda Vandana Jagdish Thakur |
author_facet | Mariya Farooqui Madhuri Venigalla Malleswari Medikonda Vandana Jagdish Thakur |
author_sort | Mariya Farooqui |
collection | DOAJ |
description | Topical ophthalmic medications are frequently prescribed by eye care professionals, including optometrists and nurses with specialized training. However, these medications can lead to systemic side effects, particularly in elderly patients who may have multiple underlying health issues. We report the case of a 70-year-old male who underwent YAG laser peripheral iridotomy in both eyes. Shortly after the procedure, he exhibited symptoms consistent with a myocardial infarction. In view of thorough investigations showing normal results, this incident suggests that the systemic absorption of pilocarpine eye drops may have contributed to his clinical presentation. |
format | Article |
id | doaj-art-2b52d4bc5fc34d0a8c152d6fa2f57923 |
institution | Matheson Library |
issn | 0972-0200 2454-2784 |
language | English |
publishDate | 2025-04-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Delhi Journal of Ophthalmology |
spelling | doaj-art-2b52d4bc5fc34d0a8c152d6fa2f579232025-07-04T06:13:16ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842025-04-0135213113610.4103/DLJO.DLJO_179_24A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical PilocarpineMariya FarooquiMadhuri VenigallaMalleswari MedikondaVandana Jagdish ThakurTopical ophthalmic medications are frequently prescribed by eye care professionals, including optometrists and nurses with specialized training. However, these medications can lead to systemic side effects, particularly in elderly patients who may have multiple underlying health issues. We report the case of a 70-year-old male who underwent YAG laser peripheral iridotomy in both eyes. Shortly after the procedure, he exhibited symptoms consistent with a myocardial infarction. In view of thorough investigations showing normal results, this incident suggests that the systemic absorption of pilocarpine eye drops may have contributed to his clinical presentation.https://journals.lww.com/10.4103/DLJO.DLJO_179_24laser peripheral iridotomynausea and vomitingpilocarpinesystemic toxicity |
spellingShingle | Mariya Farooqui Madhuri Venigalla Malleswari Medikonda Vandana Jagdish Thakur A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine Delhi Journal of Ophthalmology laser peripheral iridotomy nausea and vomiting pilocarpine systemic toxicity |
title | A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine |
title_full | A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine |
title_fullStr | A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine |
title_full_unstemmed | A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine |
title_short | A Drop of Trouble: Uncovering the Systemic Adverse Effects of Topical Pilocarpine |
title_sort | drop of trouble uncovering the systemic adverse effects of topical pilocarpine |
topic | laser peripheral iridotomy nausea and vomiting pilocarpine systemic toxicity |
url | https://journals.lww.com/10.4103/DLJO.DLJO_179_24 |
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