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Year : 2021  |  Volume : 14  |  Issue : 3  |  Page : 208-209  

A young male with unilateral mydriatic sluggish pupil

1 Sankara Eye Hospital, Ludhiana, Punjab, India
2 Sankara Academy of Vision, Sankara Eye Hospital, Ludhiana, Punjab, India

Date of Submission06-Apr-2020
Date of Decision23-Aug-2020
Date of Acceptance09-Feb-2021
Date of Web Publication20-Oct-2021

Correspondence Address:
Dr. Ruminder Kaur
Sankara Eye Hospital, Ludhiana, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ojo.OJO_80_2020

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How to cite this article:
Kaur R, Thakur R. A young male with unilateral mydriatic sluggish pupil. Oman J Ophthalmol 2021;14:208-9

How to cite this URL:
Kaur R, Thakur R. A young male with unilateral mydriatic sluggish pupil. Oman J Ophthalmol [serial online] 2021 [cited 2022 Dec 3];14:208-9. Available from: https://www.ojoonline.org/text.asp?2021/14/3/208/328615

A 31-year-old male presented with complaints of blurring of vision with strain during reading in the right eye for the past 2 months. On examination, the visual acuity was OD 6/6 N6 (blur and stress) and OS 6/6 N6. Subjective refraction (fogging) was OD + 1.50 D 6/6, N6, and OS + 0.50/−0.50 at 10° 6/6, N6. Anterior- and posterior-segment examination was within normal limits with a single finding of mid-dilated pupil in the right eye which was sluggish in reaction; intraocular pressure and color vision of both eyes were also within normal limits. The patient had no history of any systemic, ocular disease, trauma, and allergy. Slit-lamp photograph of OD pupil postpilocarpine [Figure 1] and [Figure 2].
Figure 1: Left image, OD pupil size

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Figure 2: Right image, OD pupil size postpilocarpine test

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   Questions Top

  1. What is the diagnosis? Describe two features supporting your diagnosis.
  2. What concentration pilocarpine is used as a confirmation test?
  3. Apart from routine eye examination, which investigation can be helpful?

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   References Top

Thompson HS. Adie's syndrome: Some new observations. Trans Am Ophthalmol Soc 1977;75:587-626.  Back to cited text no. 1
Gunter K, Noorden Von. Binocular Vision and Ocular Motility. 6th ed. Sydney: Library of Congress Publication Data; 2002. p. 168-248.  Back to cited text no. 2
Venkataraman A, Panda BB, Sirka C. Adie's tonic pupil in systemic sclerosis: A rare association. Case Rep Ophthalmol Med 2015;2015:1-4.  Back to cited text no. 3
Kardon RH, Corbett JJ, Thompson HS. Segmental denervation and reinnervation of the iris sphincter as shown by infrared videographic transillumination. Ophthalmology 1998;105:313-21.  Back to cited text no. 4


  [Figure 1], [Figure 2]


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