A Case of Holmes Adies pupil following herpes zoster ophthalmicus
Abstract
Holmes Adies pupil is a type of pupil with
parasympathetic denervation in which
the affected pupil is large, poorly reacting
to light, but reacting better to accommodation.
The pupil is supersensitive to
cholinergics but dilates to mydriatics normally.
Holmes Adie pupil by itself is rare.
Herpes zoster ophthalmicus as a cause
of Holmes Adie pupil is still a more rare
presentation. This presentation is one
such rare combination of Holmes Adie
pupil following herpes zoster ophthalmicus.
Full Text:
PDFReferences
Adie WJ. Pseudo-Argyll Robertson
pupils with absent tendon reflexes.
A benign disorder simulating
tabes dorsalis. British Medical Journal1931;
I: 928–30.
Adie WJ. Tonic pupils and absent tendon
reflexes: a benign disorder sui generis;
its complete and incomplete
forms. Brain1932; 55:98–113.
Pearce JMS. Hughlings Jackson and the
Holmes-Adie tonic pupil. In: Fragments of
neurological history. London: Imperial College
Press, 2003.
Hughlings Jackson and the Holmes Adie
tonic pupil. (PMCID:PMC1073276) J Neurol
Neurosurg Psychiatry. 1995 January;
(1): 87
Malcolm E. Cameron,” lesions of the
ciliary ganglion as a cause of adies pupil “,
british journal of ophthalmology,1959-
,471.
Andrew .G.Lee et al. Tonic Pupil,
UpToDate , April 2012.
Antony JH Hall MD et al., Herpes Zoster
Opthalmicus, American Uveitis Society,
March 2003.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University