© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine
CASE REPORT
Mydriasis due to Datura inoxia
Royal Devon and Exeter Hospital Foundation Trust, Wonford, Exeter, UK
Correspondence to:
Correspondence to:
Mr S V Raman
Royal Devon and Exeter Hospital Foundation Trust, Wonford, Exeter EX2 SDS, UK; vasant317{at}yahoo.com
Unilateral, dilated unresponsive pupil may be secondary to a wide range of ocular and neurological disorders. "Gardener’s pupil" is a pharmacological mydriasis caused by exposure to plants containing alkaloids. We report a case of mydriasis related to Datura inoxia, and detail a number of plants that have toxic effects. This report emphasises the importance of accurate history taking when evaluating fixed dilated pupil. We recommend that labelling of such poisonous plants should detail the local and systemic effects of accidental exposure, rather than merely the fact that they are poisonous.
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