International Journal of Medical Toxicology & Legal Medicine
  • Year: 2022
  • Volume: 25
  • Issue: 1and2

Pilocarpine eye drop: As an indicator of post mortem interval

1Ph.D. Research Scholar, Division of Forensic Science, School of Basic and Applied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India. Email: shivamdwivedi204@gmail.com

2Associate Professor, Division of Forensic Science, School of Basic and Applied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India. Email: monika.chauhan@galgotiasuniversity.edu.in

3Professor, Department of Forensic Medicine and Toxicology, VMMC-Safdarjung Hospital, New Delhi, India, Room no. 208, Medical College Building, VMMC-Safdarjung Hospital, New Delhi. Email: drkumath@gmail.com

4Professor, Department of Forensic Medicine and Toxicology, VMMC-Safdarjung Hospital, New Delhi, India, Room no. 210, Medical College Building, VMMC-Safdarjung Hospital, New Delhi, India. Email: drmohitfm@gmail.com

*Corresponding Author: Dr. Manish Kumath, Professor, Department of Forensic medicine and toxicology, VMMC-Safdarjung Hospital, New Delhi, India, Room no. 208, Medical college building, VMMC-Safdarjung Hospital, New Delhi, India. Email: drkumath@gmail.com

Online published on 2 November, 2022.

Abstract

Post mortem interval (PMI) determination is a particularly crucial detail often needed in medico-legal cases. Though, today, several methods of estimating PMI exist, most of these methods lack practical relevance, which brings about a need to find new, cost-efficient, and more reliable methods. One such temperature independent method is the evaluation of post-mortem pupillary reactivity to various pharmacological substances. The objective of the present work is to test and provide evidence of the effectiveness of pupillary reactivity to pilocarpine eye drop as an indicator to determine PMI. A total of 133 deceased with known PMI were instilled with 2% pilocarpine eye drops and measure change in pupil diameter using ImageJ freeware. A negative correlation between the changes of pupil diameter under the influence of the pilocarpine eye drop showed less change with increase PMI. Pearson correlation showed the negative correlation between the pupillary changes with PMI with p value 0.0001, 0.00017, 0.0341 and 0.0021 where á=0.05 for natural death, hanging, burn and poisoning respectively. Observations showed postmortem chemical excitability could be used as an indicator in PMI using pilocarpine eye drop.

Keywords

Forensic medicine, Postmortem interval (PMI), Pilocarpine eye drop, Post mortem pupillary reactivity