![]() AR pupil is also characterized by small, misshapen pupils. This difference in response is called lightnear dissociation (LND). It can be associated with hypohidrosis, in this case, it is known as Ross syndrome.Ĭopyright © 2023, StatPearls Publishing LLC. Argyll Robertson (AR) pupil is a condition in which the pupils are able to focus on nearby objects but do not constrict properly in bright light. Wilson 1, in 1921, wrote an important paper: The. The patient tends to have progressive miosis, bilateral affection (4% each year), and progressive loss of deep tendon reflexes. Pupil Light-near dissociation Argyll Robertson pupil Pinealoma Adies. It has a female preponderance with absent or reduced deep tendon reflexes. The symptoms result from autonomic disturbances, affecting vasomotor and sudomotor functions. In 1914, Oloff had shown that tonic pupils could be caused by factors other than syphilis.Īdie syndrome is a relatively common neurological disorder of unknown etiology comprising unilateral or bilateral tonically dilated pupils with light-near dissociation and tendon areflexia. Earlier in 1881, Hughlings Jackson had described mydriasis with pupillary paralysis, while in 1906, Markus first described the tonic pupil. ![]() They both reported the condition in 1931, where Adie named it Pseudo-Argyll Robertson pupil. ![]() Adie syndrome, also called the Holmes-Adie Syndrome, is named after William John Adie, the British neurologist of Australian descent, and Sir Gordon Morgan Holmes, an Irish neurologist.
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