![]() Here, the clinical manifestations, pathogenesis, relationship between Adie's pupil and diseases, and differential diagnosis of Adie's pupil are reviewed. Summarize the treatment and management options available for Argyll Robertson pupils. Review the physical exam of a patient with Argyll Robertson pupils. Light-near dissociation is absence of pupillary constriction on light reflex with preserved. Objectives: Identify the pathophysiology of Argyll Robertson pupils. ![]() 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. usmle highyield Understand Argyll Robertson pupil in 3 minutes. Argyll Robertson Pupil B/L, constricted, irregular pupils Seen in neurosyphilis, tertiary syphilis Does not constrict to light but to near vision (because. It is essential for clinicians to improve their understanding of the disease to avoid misdiagnosis. Pilocarpine can be used to treat ophthalmologic symptoms, such as blurred vision, for which patients might visit an ophthalmologist or neurologist. The ophthalmological symptoms and pupil abnormalities can disappear after active treatment of the primary disease. This finding is highly specific for late-stage syphilis. 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. Argyll Robertson pupil describes the physical exam finding of small bilateral pupils that do not constrict when exposed to bright light but do constrict when focused on a nearby object. The pathogeneses of Adie's pupil are complex, some of which are insidious and lack corresponding specific diseases. This video gives a brief overview of the neuroanatomy of accommodation reflex and pupillary light reflex and how it is. The pupil on the affected side is sensitive to low concentrations of pilocarpine. The direct and indirect light reflection from the pupil on the affected side disappears. The pupil of the affected side is significantly larger than that on the healthy side. Most patients have unilateral eye involvement. Adie's pupil, also called tonic pupil, is mainly seen in young women.
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