复方托品酰胺是眼底散瞳的首选药物。青光眼、高血压患者禁用。点眼后引起眼压升高，实属少见，笔者遇到１例，应接受教训，现报告如下。１　病例介绍：患者，男，８８岁，住院号３１３８４１。主因左眼胀３～４年，流泪１周余，在门诊查眼底，使用散瞳剂为复方托品酰胺２小时 Compound tropicamide is the preferred drug for fundus mydriasis. Glaucoma, hypertension disabled. Ocular eye caused by elevated intraocular pressure, it is rare, I encountered 1 case, should receive some lessons, are as follows. 1 Case description: Patient, male, 88 years old, hospital number 313841. Mainly due to left eye swelling 3 to 4 years, more than 1 week of tears, check out the fundus in the clinic, the use of mydriatic compound for 2 hours