Pharmacologic Mydriasis Secondary to Topical Glycopyrronium Tosylate Cloths: Clinical Characterization From a Multicenter Analysis.
Aaron R KaufmanShawn GulatiJohn H PulaTimothy M JanetosNeena R CherayilEric ChiuEmily Anne ShepherdKarl C GolnikEnrique Garcia-ValenzuelaPeter W MacIntoshBrooke T JohnsonKimberlee M CurnynPublished in: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society (2022)
Mydriasis associated with topical GT seems to be a consequence of local exposure rather than systemic toxicity. Because patients may not volunteer topical GT as a medication, eliciting a history of exposure often requires further specific questioning. Soft contact lens wear and poor postapplication hand hygiene seem to be associated with mydriasis in GT use.