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William Davenport, MD
University of Texas Health Science Center Dallas

JAMA. 1985;254(13):1720.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the March 15 issue of THE JOURNAL, Dr Price¹ reported on a 25-year-old woman who had a unilateral anisocoria with the pupil on the left fixed to light and convergence. This was undoubtedly due to topical scopolamine having been transferred manually from a scopolamine patch placed behind her left ear.

What is not clear is the sequence of events that followed the discovery of the patch. Dr Price states that he removed the patch and "observed her pupil return to normal over the next four hours." Since the effect on her pupil is not systemic (if it had been she would have had bilaterally dilated pupils), why was there any effect from removing her patch and why so soon? As those of us who use scopolamine on a regular basis in the eye know, the effect of this drug is quite long, frequently lasting as . . . [Full Text PDF of this Article]

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