A Case of Adie's Tonic Pupil Before Presentation of Denervation Hypersensitivity
Journal of the Korean Ophthalmological Society
;
: 2032-2036, 2008.
Article
in Korean
| WPRIM
| ID: wpr-132877
ABSTRACT
PURPOSE:
Denervation supersensitivity to 0.125% pilocarpine is an important factor in making a diagnosis of Adie's tonic pupil. However, it generally takes several weeks for denervation supersensitivity to manifest after an injury to the nerve ganglion. We report a case of 'acute' Adie's tonic pupil before the manifestation of denervation supersensitivity. CASESUMMARY:
A 53-year-old man with no significant past medical history visited our clinic, reporting mydriasis of his left eye. Pupil size was 8 mm in the right eye, 3 mm in the left. Loss of both direct/indirect light reflex and light-near reflex were observed. The left pupil did not react to 0.125% Pilocarpine, but constricted in response to 1% pilocarpine. After 5 months, the pupil size did not change, but the pupil constricted in response to 0.125% pilocarpine.CONCLUSIONS:
In an isolated case of dilated pupil, though the pupil did not react to 0.125% pilocarpine, with respect to the Adie's tonic pupil, to check the manifestation of denervation supersensitivity should be needed at regular intervals.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pilocarpine
/
Reflex
/
Mydriasis
/
Tonic Pupil
/
Pupil
/
Denervation
/
Ganglion Cysts
/
Eye
/
Hypersensitivity
/
Light
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2008
Type:
Article
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