Pupil Disorders

Question 1

Adie pupil

Answer 1

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

Question 2

Marcus Gunn pupil

Answer 2

Relative affluent pupillary defect
Damage to optic nerve or retinal disease

Question 3

Hutchinson

Answer 3

Unilateral dilated pupil unresponsive to light
Tumour compressing the occulomotor nerve

Question 4

Argyll Robertson pupil

Answer 4

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