![]() ![]() With the declining incidence of neurosyphilis, the sign is increasingly likely to indicate another cause, although an assiduous search for lues should also be undertaken. Magnetic resonance imaging studies have localized the lesion in patients with sarcoidosis and multiple sclerosis. Originally associated with tabes dorsalis, the sign has now been found in a number of conditions with lesions in the area of the nucleus of Edinger-Westphal. With the declining incidence of neurosyphilis, the sign is increasingly likely to indicate another cause, although an assiduous search for lues should also be undertaken.ĪB - The Argyll Robertson pupil, a miotic pupil that fails to react to direct light, has been described for more than a century. Here, the clinical manifestations, pathogenesis, relationship between Adies pupil and diseases, and differential diagnosis of Adies pupil are reviewed. Robertson Four cases of spinal miosis with remarks on the action of light on the pupil Edin. We highlight the importance of considering this condition in the context of multiple medications and increased anticholinergic burden. Originally associated with tabes dorsalis, the sign has now been found in a number of conditions with lesions in the area of the nucleus of Edinger-Westphal. Differential diagnosis between Adies pupil, oculomotor nerve palsy, anticholinergic drug overdose, Argyll-Robertson pupil, and congenital mydriasis need to be identified by the physician. A pseudo-Argyll Robertson pupil is a neurological sign involving a pupil with a normal near reflex but the absence of a light reflex (light-near dissociation). A young woman presented with blurred vision due to anticholinergic syndrome. Abstract The Argyll Robertson pupil, a miotic pupil that fails to react to direct light, has been described for more than a century. For more information on the basic eye examination, see Head and neck examination. Adjunct tests and procedures may be indicated depending on the findings of the initial exam. ![]() Parasympathetic innervation leads to pupillary constriction. fixed pupil a pupil that does not react either to light or on convergence, or in. Argyll Robertson pupil one that is miotic and responds to accommodation effort, but not to light. They are a highly specific sign of neurosyphilis however, Argyll Robertson pupils may also be a sign of diabetic neuropathy. Argyll Robertson pupil: (P) pu´pil the opening in the center of the iris through which light enters the eye see also Plate 17. N2 - The Argyll Robertson pupil, a miotic pupil that fails to react to direct light, has been described for more than a century. J.: Pseudo-Argyll-Robertson pupils with absent tendon reflexes Benign disorder simulating tabes dorsalis, Brit. sclera, cornea ), the anterior ocular chamber ( iris, lens, pupils ), ocular movements, and the optic fundus. The physiology behind a 'normal' pupillary constriction is a balance between the sympathetic and parasympathetic nervous systems. Argyll Robertson pupils (AR pupils) are bilateral small pupils that reduce in size on a near object (i.e., they accommodate), but do not constrict when exposed to bright light (i.e., they do not react). T1 - Significance of the Argyll Robertson pupil in clinical medicine Case Reports in Ophthalmological Medicine, vol. ![]() ‘An Acute Case of Herpes Zoster Ophthalmicus with Ophthalmoplegia’. ‘An Unusual Case of Anisocoria by Vegetal Intoxication: A Case Report’. Kanski’s Clinical Ophthalmology: A Systematic Approach. Argyll-Robertson Pupil, its Clinical Value and its Relation to Syphilis Le signe pupillaire dArgyll-Robertson sa valeur smilogique ses relations avec la. ![]()
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