RESUMO
We report the case of a 2-month-old boy with unilateral pharmacologic mydriasis from inadvertent exposure to glycopyrronium after parental use of glycopyrronium wipes. Clinician familiarity with the potential effects of glycopyrronium exposure may aid in the recognition, diagnosis, and prevention of pharmacologic mydriasis as well as the reduction of costly and unnecessary evaluations.
Assuntos
Glicopirrolato/administração & dosagem , Midríase/induzido quimicamente , Pais , Pupila/efeitos dos fármacos , Administração Tópica , Antagonistas Colinérgicos/administração & dosagem , Humanos , Lactente , Masculino , Midríase/diagnóstico , Midríase/fisiopatologiaRESUMO
A 66-year-old female presented for evaluation of progressively worsening edema and palpable masses in both lower eyelids. While she denied prior filler to the lower eyelid or tear trough, histopathology revealed degenerating striated muscle surrounding pools of hyaluronic acid. While cases of gradually enlarging masses associated with facial filler placement have been reported, there is no literature identifying muscle degeneration adjacent to hyaluronic acid filler.
