Segmental Palsy of the Iris Sphincter in Adie's Syndrome

Neuro-Ophthalmic Emergencies for the Neurologist

“…However, this finding takes 5 to 8 days to become apparent. 214,216 In occasional cases a pupil that is dilated due to a preganglionic lesion (ie, a third nerve palsy) may show similar cholinergic supersensitivity to dilute pilocarpine. 217 In cases of atropinization, the dilated pupil will fail to constrict to dilute and even to full-strength (0.5-4%) pilocarpine.…”

Neuro-Ophthalmic Emergencies for the Neurologist

“…However, this finding takes 5 to 8 days to become apparent. 214,216 In occasional cases a pupil that is dilated due to a preganglionic lesion (ie, a third nerve palsy) may show similar cholinergic supersensitivity to dilute pilocarpine. 217 In cases of atropinization, the dilated pupil will fail to constrict to dilute and even to full-strength (0.5-4%) pilocarpine.…”

Bilateral Tonic Pupil Secondary to Migraine in a Child

“…1 Tonic pupil begins unilaterally in 69% of cases and later becomes bilateral in at least 20% of the patients. 2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent.…”

“…2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent. 1 Unilateral or bilateral Adie's pupil is rare in childhood.…”

Neuro-ophthalmology of pupillary function - practical guidelines

“…Segmental pupillary sphincter palsies are very typical [48]. Absent or severely reduced light reaction and better but very slow near reaction (especially redilation) can be demonstrated.…”

Neuro-Ophthalmic Emergencies for the Neurologist

“…However, this finding takes 5 to 8 days to become apparent. 214,216 In occasional cases a pupil that is dilated due to a preganglionic lesion (ie, a third nerve palsy) may show similar cholinergic supersensitivity to dilute pilocarpine. 217 In cases of atropinization, the dilated pupil will fail to constrict to dilute and even to full-strength (0.5-4%) pilocarpine.…”

Bilateral Tonic Pupil Secondary to Migraine in a Child

“…1 Tonic pupil begins unilaterally in 69% of cases and later becomes bilateral in at least 20% of the patients. 2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent.…”

“…2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent. 1 Unilateral or bilateral Adie's pupil is rare in childhood.…”

Neuro-ophthalmology of pupillary function - practical guidelines

“…Segmental pupillary sphincter palsies are very typical [48]. Absent or severely reduced light reaction and better but very slow near reaction (especially redilation) can be demonstrated.…”

Neuro-Ophthalmic Emergencies for the Neurologist

“…However, this finding takes 5 to 8 days to become apparent. 214,216 In occasional cases a pupil that is dilated due to a preganglionic lesion (ie, a third nerve palsy) may show similar cholinergic supersensitivity to dilute pilocarpine. 217 In cases of atropinization, the dilated pupil will fail to constrict to dilute and even to full-strength (0.5-4%) pilocarpine.…”

Bilateral Tonic Pupil Secondary to Migraine in a Child

“…1 Tonic pupil begins unilaterally in 69% of cases and later becomes bilateral in at least 20% of the patients. 2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent.…”

“…2 They may also show regional corneal hypesthesia due to interruption of fibers of the ophthalmic division of the trigeminal nerve as they traverse the ciliary ganglion. 2 In addition to ocular signs, the deep tendon reflexes, especially the knee and ankle reflexes, may be diminished or absent. 1 Unilateral or bilateral Adie's pupil is rare in childhood.…”

Neuro-ophthalmology of pupillary function - practical guidelines

“…Segmental pupillary sphincter palsies are very typical [48]. Absent or severely reduced light reaction and better but very slow near reaction (especially redilation) can be demonstrated.…”