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Atropine is an anticholinergic drug which is used in both parental and topical routes.Topical eye-drops of atropine suffate are used as mydriatic and cycloplegics.Parental atropine-induced delirium is well known but topical atropine eye-drop-induced delirium cases are very limited in literature.In this case report,an elderly man underwent cataract surgery and developed delirium after the use of 1％ atropine sulfate eye-drops as prescribed.This case supports the notion that even atropine eye-drops can cause delirium in patients at therapeutic doses in elderly.