This study surveyed eight patients of traumatic mydriasis before and after instillation of 1% pilocarpine hydrochloride to evaluate the effectiveness of this drug in the management of traumatic mydriasis. Eight cases of traumatic mydriasis caused by blunt trauma of eyeball were included in this study. There was no rupture of globe and the ocular structures were intact for all patients. Each case received detailed ophthalmologic examinations including visual acuity, near vision, stereoacuity, refractive errors, pupil size (light and near), ranges of accommodation, intraocular pressure, and gonioscopy. There were significant improvement in the anisometropia, pupil size (light and near), ranges of accommodation, and stereoacuity after treatment (p<0.05). The clinical symptoms such as photophobia, blurred near vision, and glare also improved. In traumatic mydriasis, there was not only dilatation of the pupil, but also changes in refraction, near vision, amplitude of accommodation, pupil size, and stereoacuity. Pilocarpine hydrochloride (1%) has been proved to be an effective, cheap, convenient, and physiological way to treat traumatic mydriasis.
This study surveyed eight patients of traumatic mydriasis before and after instillation of 1% pilocarpine hydrochloride to evaluate the effectiveness of this drug in the management of traumatic mydriasis. Eight cases of traumatic mydriasis caused by blunt trauma of eyeball were included in this study. There was no rupture of globe and the ocular structures were intact for all patients. Each case received detailed ophthalmologic examinations including visual acuity, near vision, stereoacuity, refractive errors, pupil size (light and near), ranges of accommodation, intraocular pressure, and gonioscopy. There were significant improvement in the anisometropia, pupil size (light and near), ranges of accommodation, and stereoacuity after treatment (p<0.05). The clinical symptoms such as photophobia, blurred near vision, and glare also improved. In traumatic mydriasis, there was not only dilatation of the pupil, but also changes in refraction, near vision, amplitude of accommodation, pupil size, and stereoacuity. Pilocarpine hydrochloride (1%) has been proved to be an effective, cheap, convenient, and physiological way to treat traumatic mydriasis.