A case of Adie’s tonic pupil

Özgül Ocak; Burak Zan; Barış Ocak

doi:10.28982/josam.827312

Authors

Özgül Ocak https://orcid.org/0000-0001-8276-0174
Burak Zan https://orcid.org/0000-0003-2084-5302
Barış Ocak https://orcid.org/0000-0001-7299-6909

DOI:

https://doi.org/10.28982/josam.827312

Keywords:

Adie syndrome, Tonic pupil, Pilocarpine, Anisocoria

Abstract

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.

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