A case of Adie’s tonic pupil

Öz

Adie's tonic pupil, the round unilateral tonic pupil, is a neuro-ophthalmologic disorder with dilation and no light response. Although usually idiopathic, it may be associated with infection, inflammation, and postganglionic paraneoplastic nerve damage. It is called Holmes-Adie syndrome when deep tendon reflex loss accompanies Adie’s tonic pupil. The diagnosis is made by observing a miotic response after dilated pilocarpine instillation. Spontaneous recovery depends on etiological factors.

Anahtar Kelimeler

• Adie syndrome
• Tonic pupil
• Pilocarpine
• Anisocoria

Adie’nin Tonik Pupillası

Öz

Adie'nin tonik pupillası; yuvarlak tek taraflı tonik pupilla, genişlemiş ve ışık yanıtı olmayan nöro-oftalmolojik bir bozukluktur. Genellikle idiyopatiktir, ancak enfeksiyon, iltihaplanma ve postganglionik paraneoplastik sinir hasarı ile ilişkilidir. Derin tendon refleks kaybı meydana geldiğinde Holmes-Adie sendromu olarak adlandırılır. Tanı dilate pilokarpin damlatıldıktan sonra gözde miyoz varlığı ile konur. Kendiliğinden düzelmenin gözlenip görülmemesi muhtemelen etiyolojik nedenlere bağlıdır.

Anahtar Kelimeler

• Adie sendromu
• tonic pupilla
• pilocarpine
• anisokori

Kaynakça

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