Pupils

Question 1

When does Argyll-Robertson pupil occur?

Answer 1

Occurs in neurosyphilis and DM

Question 2

What features are associated with Argyll-Roberson pupil?

Answer 2

Small, irregular pupils (bilateral miosis)
No response to light
There is a response to accommodate
(Argyll-Robertson Pupil = Accommodation Reflex Present, but pupillary reflex absent)

Prostitute’s pupil: accommodates but does not react

Question 3

What is a Tonic (Adie) pupil?

Answer 3

Lack of parasympathetic innervation - resulting in poor constriction to light
Initially monolateral then bilateral pupil dilatation with delayed responses to near vision effort