Atropine eye-drop-induced acute delirium: a case report. Issue 3 (5th May 2020)

• Record Type: Journal Article
• Authors: Maravi, Prashant; Mishra, Dheerendra Kumar; Singh, Amrendra; Niranjan, Vijay
• Is Part Of: General psychiatry. Volume 33:Issue 3(2020)
• Publication Date: 2020-05-05
• Subjects: atropine -- delirium -- central anticholinergic syndrome -- eye drops -- anti muscarinic action; Psychiatry -- Periodicals; 616.89
• DOI: 10.1136/gpsych-2019-100125
• Languages: English
• ISSNs: 2096-5923

Abstract

Abstract : Atropine is an anticholinergic drug which is used in both parental and topical routes. Topical eye-drops of atropine sulfate are used as mydriatic and cycloplegics. Parental atropine-induced delirium is well known but topical atropine eye-drop-induced delirium cases are very limited in literature. In this case report, an elderly man underwent cataract surgery and developed delirium after the use of 1% atropine sulfate eye-drops as prescribed. This case supports the notion that even atropine eye-drops can cause delirium in patients at therapeutic doses in elderly.