Adie’s Tonic Pupil | Signs - MedSchool
Sign up to start your free trial of MedSchool Premium!Get Started
 
Signs
 
 
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
R
S
T
U
V
W
X
Z
 

Adie’s Tonic Pupil

Bookmark

Overview

    • Look For

    • Dilatation of one or both pupils
    • Unresponsiveness to light
    • Intact accomodation reflex (near light dissociation)
    • Significance

    • Indicates loss of postganglionic parasympathetic innervation of the sphincter pupillae and ciliary muscles.
  • This finding is commonly associated with knee / ankle areflexia (Holmes-Adie syndrome)
    • Causes of Adie's Tonic Pupil

    • Viral infection
    • Trauma
    • Orbital tumour
    • Vasospasm (migraine)
    • Idiopathic
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
 
Feedback