Hippus, also known as pupillary athetosis is spasmodic, rhythmic, but regular dilating and contracting pupillary movements between the sphincter and dilator muscles. It is particularly noticeable when pupil function is tested with a light, but is independent of eye movements or changes in illumination. It is usually normal, however pathological hippus can occur. Pathologic hippus, the phenomena of increased oscillation or their amplitude, is associated with aconite poisoning, altered mental status, trauma, cirrhosis, and renal disease; suggesting a common pathway of frontal lobe dysfunction. A retrospective study of 117 hospitalized patients with hippus noted an increased 30-day mortality when compared to controls and adjusted for other factors (odds ratio=4.1, p<0.001). Caption from: https://en.wikipedia.org/wiki/Hippu #Hippus #Pupillary #Athetosis #PhysicalExam #Clinical #Video #Ophthalmology
