Tonic pupil and dermal injuries, is it just what it seems?

Pecero-Hormigo, María del Carmen; González-Tena, Cristina; Gaspar-García, Elsa; López-Lara, Leticia Nair

doi:10.1016/j.eimce.2019.02.005

Cited by 2 publications

(5 citation statements)

References 2 publications

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“…Nu sta ty ta, kad to ni ná vyz dá ga li su kel ti ávai rûs in fek ciniai su sir gi mai -si fi lis, ágy tas imu no de fi ci to sin dro mas (AIDS), vë ja rau piai, juos ti në pûs le li në, Lai mo li ga, papras to ji pûs le li në, par vo vi ru si në B19 in fek ci ja, he pa ti tai ir COVID-19 in fek ci ja [14][15][16][17][18].…”

Section: Etiologijaunclassified

“…To ni nis vyz dys taip pat sie ja mas su pa ra ne op las ti niais sin dro mais (Hodþ ki no lim fo ma, krû tø vë þiu, tar pup lau èio smul kiø jø làs te liø kar ci no ma, ade noi di ne cis ti ne kar ci noma), anes te zi ja, vais tø var to ji mu ir ki to mis bûk lë mis [7,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Etiologijaunclassified

“…Svar bu var to ti an ti cho li ner gi nius vais tus, ka dan gi pa ra sim pa ti në cho li ner gi në sti mu lia ci ja su ke lia vyz dá su trau kian èio raumens su si trau ki mà, o cho li ner gi niø re cep to riø blo ka vimas -vyz dþio ið si plë ti mà [24]. Ki tos li gos ir bûk lës, to kios kaip te le an giek ta zi jos, ka ver ni nës mal for ma ci jos, ve nø ano ma li jos, mie go ar te ri jos di se ka ci ja, mig re na, ið emi ja, aki duo bës sie nø lû þiai ir aug liai, taip pat ga li su kel ti to ninio vyz dþio simp to ma ti kà [15,21,[25][26][27][28].…”

Section: Etiologijaunclassified

“…Neu ro lo gi nio ið ty ri mo me tu svar bu at kreip ti dë me sá á gi liuo sius saus gys liø re flek sus -esant jø su sil pnë ji mui ar ið ny ki mui, diag no zuo ja mas Adie sin dro mas [4,15,21]. Áver ti nus re flek sus, ti ria ma dël seg men ti nio su ma þë ju sio pra kai ta vi mo vie no je ar abie jo se pu së se, no rint at mes ti Ross sin dro mà [4,34].…”

Section: Klinika Ir Diagnostikaunclassified

“…Dau ge liui pa cien tø su Adie vyz dþiu gy dy mas ne rei ka lingas. Jei diag no zuo ja ma ani zo ko ri jà su kë lu si vie na ið sis temi niø au to no mi niø neu ro pa ti jø, gy do ma vy rau jan ti pa tolo gi ja [4,14,[10][11][12][13][14][15][16]. Esant ið reikð tai fo to fo bi jai, re ko menduo ja mi aki niai su fo toch ro mi niais fil trais, su tri kus akomo da ci jai -aki niai skai ty mui.…”

Section: Gydymasunclassified

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Adie pupil. Literature review

Judickaitė,

Zizas,

Varoniukaitė

et al. 2023

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Anisocoria (unequal pupil size) is a condition described as various lacerations in iris sphincter or dilator muscles, innervation abnormalities, or conditions caused by external pharmacological agents. Adie pupil is one of the causes of anisocoria. Adie pupil is a rare neurological disorder which represents itself with unilateral or bilateral mydriasis, unresponsiveness to bright or dim light, and constriction on accommodation. This condition is idiopathic, affecting 25-45-year-old adults, more frequently women. The symptoms are a unilateral or bilateral dilated pupil, photophobia, and blurred vision. The diagnosis is based on patients’ symptoms, clinical examination findings, and a dilute pilocarpine test can also be performed. Most patients do not need treatment. In this article, we review the epidemiology, pathogenesis, etiology, clinical evaluation, diagnostic features, treatment of Adie pupil, its relationship with COVID-19, and other conditions that cause anisocoria.

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Section: Etiologijaunclassified

Section: Klinika Ir Diagnostikaunclassified

Section: Gydymasunclassified

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Adie pupil. Literature review

Judickaitė,

Zizas,

Varoniukaitė

et al. 2023

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Adie’s Pupil: A Diagnostic Challenge for the Physician

Song

et al. 2021

Med Sci Monit

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Adie’s pupil, also called tonic pupil, is mainly seen in young women. Most patients have unilateral eye involvement. The pupil of the affected side is significantly larger than that on the healthy side. The direct and indirect light reflection from the pupil on the affected side disappears. The pupil on the affected side is sensitive to low concentrations of pilocarpine. The pathogeneses of Adie’s pupil are complex, some of which are insidious and lack corresponding specific diseases. Through a literature review, we found that Adie’s pupil is mainly associated with infectious diseases, most commonly syphilis, followed by immune diseases and paraneoplastic syndromes. The ophthalmological symptoms and pupil abnormalities can disappear after active treatment of the primary disease. Pilocarpine can be used to treat ophthalmologic symptoms, such as blurred vision, for which patients might visit an ophthalmologist or neurologist. It is essential for clinicians to improve their understanding of the disease to avoid misdiagnosis. Differential diagnosis between Adie’s pupil, oculomotor nerve palsy, anticholinergic drug overdose, Argyll-Robertson pupil, and congenital mydriasis need to be identified by the physician. Here, the clinical manifestations, pathogenesis, relationship between Adie’s pupil and diseases, and differential diagnosis of Adie’s pupil are reviewed.

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Tonic pupil and dermal injuries, is it just what it seems?

Cited by 2 publications

References 2 publications

Adie pupil. Literature review

Adie pupil. Literature review

Adie’s Pupil: A Diagnostic Challenge for the Physician

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