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Year : 2020  |  Volume : 8  |  Issue : 3  |  Page : 119-121

Adie’s pupil – Case series

Department of Pediatric Ophthalmology and Strabismus, Sankara Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Sowmya Raveendra Murthy
Sankara Eye Hospital, Varthur Main Road, Kundlahalli Gate, Bengaluru - 560 035, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcor.jcor_1_20

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Adie’s pupil, also called as Adie’s tonic pupil is the common cause of anisocoria or unequal pupils in clinics. It is used to denote the parasympathetic denervation of the pupil with absent light responses and retained near reflex. We describe a case series of patients diagnosed with Adie’s pupil. We retrospectively reviewed the case records of patients diagnosed with Adie’s pupil between January 2016 and December 2017. The diagnosis was made based on light-near dissociation of pupils, vermiform movements of the iris, and supersensitivity to dilute pilocarpine. Routine blood investigations, venereal disease research laboratory test was ordered in all patients. Out of the forty patients included, there were 23 male and 17 female. It was bilateral in 6 and unilateral in 34 cases. Most cases were between 20 and 50 years. There were 3 cases <20 years and 4 cases >50 years. Hypothyroidism and diabetes were noted in 2 cases each. Interestingly, the erythrocyte sedimentation rate (ESR) was raised in 9 cases. Our series points toward the common occurrence of Adie’s pupil and needs to be looked for during the examination. Although the etiology seems not clear in our review, it gives a clue to investigate further in view of raised ESR suggesting inflammation.

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