Adie's Pupil
What? Unknown nature & benign
• Regular and mildly dilated pupil (4-6mm);
• Light-near dissociaton;
• Usually unilateral;
• Slow pupillary dilation in response to dark;
• Slow redilation when reexposed to light;
• Normal response to mydriatics.
Holmes-Adie Syndrome:
• Adie's Pupil + Hyporeflexia
• Young females
Differential Diagnosis:
• CN Ill Palsy
- abnormal extraocular movements
- no light-near dissociation
• Other causes of tonic pupil (trauma/orbital tumor)
• Physiologic Anisocoria
- same pupillary asymmetry in dark and light
By Dr. Gabriela Figueiredo Pucci @gabifpucci @neudrawlogy
#Adies #Pupil #PhysicalExam #neurology #ophthalmology
