A Case of Adie's Tonic Pupil Before Presentation of Denervation Hypersensitivity.
10.3341/jkos.2008.49.12.2032
- Author:
Kyu Sung LEE
1
;
Hyun Jun CHOI
;
Hye Young KIM
Author Information
1. National Health Insurance Corporation Ilsan Hospital, Gyeonggi, Korea. khyeye@hanmail.net
- Publication Type:Case Report
- Keywords:
Denervation hypersensitivity;
Tonic pupil
- MeSH:
Denervation;
Eye;
Ganglion Cysts;
Humans;
Hypersensitivity;
Light;
Middle Aged;
Mydriasis;
Pilocarpine;
Pupil;
Reflex;
Tonic Pupil
- From:Journal of the Korean Ophthalmological Society
2008;49(12):2032-2036
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Denervation supersensitivity to 0.125% pilocarpine is an important factor in making a diagnosis of Adie's tonic pupil. However, it generally takes several weeks for denervation supersensitivity to manifest after an injury to the nerve ganglion. We report a case of 'acute' Adie's tonic pupil before the manifestation of denervation supersensitivity. CASE SUMMARY: A 53-year-old man with no significant past medical history visited our clinic, reporting mydriasis of his left eye. Pupil size was 8 mm in the right eye, 3 mm in the left. Loss of both direct/indirect light reflex and light-near reflex were observed. The left pupil did not react to 0.125% Pilocarpine, but constricted in response to 1% pilocarpine. After 5 months, the pupil size did not change, but the pupil constricted in response to 0.125% pilocarpine. CONCLUSIONS: In an isolated case of dilated pupil, though the pupil did not react to 0.125% pilocarpine, with respect to the Adie's tonic pupil, to check the manifestation of denervation supersensitivity should be needed at regular intervals.
