Holmes-Adie pupil

external

• Synonyms

  • Adie's tonic pupil
  • Holmes Adie pupil
  • Myotonic pupil

• Causes

  • Holmes-Adie syndrome

• Effects

  • Dilated pupil
  • Sluggish pupillary reflex
  • Delayed accommodation
  • Delayed near reflex
  • Irregular pupil

• Parents

  • Pupil sign

• Description

  • "Slow but exaggerated response to light Associated with segmental palsy of iris - may be oval or irregular Degeneration of nerve to ciliary ganglilon Hyperconstriction to dilute weak pilocarpine (denervation hypersensitivity)"