Ophthalmic drops causing coma in an infant

J Pediatr. 2001 Mar;138(3):441-3. doi: 10.1067/mpd.2001.111319.

Abstract

A 1-month-old infant with Peters anomaly had recurrent episodes of unresponsiveness, hypotension, hypotonia, hypothermia, and bradycardia. An extensive medical evaluation determined these episodes to be caused by brimonidine, an anti-glaucoma agent. There is the potential for serious toxic effects from the systemic absorption of topically applied ophthalmic agents in children.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic alpha-Agonists / administration & dosage
  • Adrenergic alpha-Agonists / poisoning*
  • Brimonidine Tartrate
  • Coma / complications
  • Coma / etiology*
  • Coma / prevention & control
  • Eye Abnormalities / complications
  • Humans
  • Infant, Newborn
  • Male
  • Ophthalmic Solutions / administration & dosage
  • Ophthalmic Solutions / poisoning*
  • Practice Guidelines as Topic
  • Quinoxalines / administration & dosage
  • Quinoxalines / poisoning*
  • Syndrome

Substances

  • Adrenergic alpha-Agonists
  • Ophthalmic Solutions
  • Quinoxalines
  • Brimonidine Tartrate