Myoclonic seizure due to cyclopentolate eye drop in a preterm infant

Turk J Pediatr. 2012 Jul-Aug;54(4):419-20.

Abstract

Cyclopentolate is widely used in ophthalmology for its intense mydriatic and cycloplegic activity. Systemic side effects have been described in both adults and children. Myoclonic seizure is a rare side effect of eye drops that are used in eye examinations. We report herein a case of convulsion in a three month- old girl following cyclopentolate hydrochloride and phenylephrine hydrochloride eye drops, which were used in advance of ophthalmoscopy for examination of retinopathy of prematurity (ROP). Physicians should be aware of the uncommon systemic side effects of cyclopentolate, and drops should be used in appropriate dosages.

Publication types

  • Case Reports

MeSH terms

  • Cyclopentolate / administration & dosage
  • Cyclopentolate / adverse effects*
  • Epilepsies, Myoclonic / chemically induced*
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Ophthalmic Solutions / administration & dosage
  • Ophthalmic Solutions / adverse effects*
  • Retinopathy of Prematurity / drug therapy*

Substances

  • Ophthalmic Solutions
  • Cyclopentolate