Pupil Disorders

Question 1

Dilated
Slowly reactive to light with definite accommodation
Viral or bacterial infection (damages parasympathetic)
Females
Absent knee and ankle jerks

Answer 1

Adie pupil

Question 2

Relative affluent pupillary defect
Damage to optic nerve or retinal disease

Answer 2

Marcus Gunn pupil

Question 3

Unilateral dilated pupil unresponsive to light
Tumour compressing the occulomotor nerve

Answer 3

Hutchinson

Question 4

Bilateral small pupils
Accommodate but do not constrict
Causes: neurosyohyllis or diabetes

Answer 4

Argyll Robert’s pupil