Unilateral Pharmacologic Mydriasis Following Accidental Ocular Exposure to Tiotropium Bromide: Case Report

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Published

2026-04-02

DOI:

https://doi.org/10.56692/upjo.2026140109

Keywords:

Tiotropium bromide, Pharmacologic mydriasis, Anticholinergic, Unilateral dilated pupil, Ocular exposure.

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Issue

Vol. 14 No. 01 (2026): UP Journal of Ophthalmology

Section

Case Report

License

Copyright (c) 2026 Ratnali Gandhi, Neha Shilpy, Abhishek Chandra, Govind Khalko

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

Authors

  • Ratnali Gandhi JR2
  • Neha Shilpy Consultant Netrodaya The Eye City
  • Abhishek Chandra Director Netrodaya The Eye City
  • Govind Khalko Consultant Netrodaya The Eye City

Abstract

Purpose: To report a case of unilateral pharmacologic mydriasis following accidental ocular exposure to tiotropium bromide.
Methods: A 35-year-old male presented with diminished near vision in the right eye. Examination revealed a dilated, non-reactive pupil in the affected eye with otherwise normal ocular findings. There was no history of any topical or oral medication. After a detailed history, it was found that he works in a paint factory. Imaging studies were unremarkable. After a detailed examination, it was found that he was exposed to tiotropium bromide.
Results: A diagnosis of pharmacologic mydriasis was made, and the patient was managed conservatively.
Conclusion: Accidental ocular exposure to tiotropium bromide can cause transient unilateral mydriasis. Awareness of this condition is important to avoid unnecessary investigations and ensure appropriate management.

How to Cite

1.
Gandhi R, Shilpy N, Chandra A, Khalko G. Unilateral Pharmacologic Mydriasis Following Accidental Ocular Exposure to Tiotropium Bromide: Case Report. UPJO [Internet]. 2026 Apr. 2 [cited 2026 Jun. 26];14(01):42-3. Available from: https://upjo.info/index.php/upjo/article/view/636

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