Disorders of the Pupil

Question 1

What are the features of Holmes-Adie pupil?

Answer 1

Unilateral dilated pupil
Once constricted, remains small for a long period of time
Associated with absent LL reflexes
Slow to accommodate
No response to light

Question 2

What are the features of an Argyll-Robinson pupil?

Answer 2

Small pupil
No response to light, but there is a response to accommodation

Question 3

Give 2 causes of an Argyll-Robinson pupil

Answer 3

Diabetes
Syphilis

Question 4

What are the features of Horner’s syndrome?

Answer 4

Ptosis (drooping of the eyelid)
Miosis (constriction of the pupil)
Anhydrosis (absence of sweating on the affected side)

Question 5

Acute angle closure glaucoma?

Answer 5

Fixed, semi-dilated pupil

Question 6

Acute Uveitis?

Answer 6

Small, irregular pupil