“…However, since Adie's reports, the tonic pupil has been reported to occur in association with a variety of disease states, including mechanical and chemical trauma, acute and post-acute viral infections, orbital masses, and autonomic dystrophies. However, the tonic pupil has been reported in association with only one case of arteritis and that was a case of giant-cell arteritis (Davis et al, 1968). As noted before, the tonic pupil has, to our knowledge, been previously reported in association with rheumatoid arthritis only once (Littlewood and Lewis, 1963).…”