Topical 1% Cyclopentolate Hydrochloride induced acute Cycloplegic Psychosis during Refraction
Journal Title: IOSR Journal of Pharmacy (IOSRPHR) - Year 2015, Vol 5, Issue 6
Abstract
Acute cognitive dysfunctional manifestations observed in a 3 year old female child following topical 1% Cyclopentolate hydrochloride instillation during cycloplegic refraction. The child presented with exaggeration of suppressed emotions hidden under the unconscious mind by overwhelming responses with intermittent periods of selfishness, happiness and fear of insecurity. The animus component exhibited violently against her father by aggressive voice rising and unpleasant facial expressions calling her mother repeatedly. Happy moments were that of singing, dancing and vivid visual hallucinations. Teasers were viewed violently by biting and clenching, and fighting gestures. However the refraction procedure was completed with full cooperation of the child with love and affection. Systemic absorption of cyclopentolate caused release of inhibitory effect from the conscious mind. Systemic circulation of the drug could be prevented by temporal punctal occlusion in susceptible children. To evaluate factors causing altered behavioural pattern is the purpose of the present case study.
Authors and Affiliations
Dr. S. K. Prabhakar1 , Dr. Venkata sashidhar butta2
Keywords
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