KMID : 0360220130540050777
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Journal of the Korean Ophthalmological Society 2013 Volume.54 No. 5 p.777 ~ p.783
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Clinical Features of Adie¡¯s Tonic Pupil: A Retrospective and Cross-Sectional Study
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Lee Hye-Jin
Lee Jin-Young Um Tae-Woong Lim Hyun-Taek Ahn Hyo-Sook
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Abstract
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Purpose: To report the clinical features of Adie¡¯s tonic pupil. Methods: The medical records of 22 patients who had been diagnosed with Adie¡¯s tonic pupil from February 1998 to February 2009, were retrospectively reviewed. On March 2010, a cross-sectional examination was performed in 16 patients (19 eyes) who underwent a follow-up of more than 1 year. Measurements included pupil size in room light, bright light and in darkness; near point of accommodation; presence of segmental iris palsy; light-near dissociation; denervation supersensitivity; corneal sensitivity; and deep tendon reflex (DTR). Results: Among the patients studied, 16 were women in Adie¡¯s tonic pupils. Only 3 of patients had bilateral involvement. The mean age of onset was 38.3 years. The mean size of Adie¡¯s tonic pupils was 2.3 mm larger than the fellow eyes. Segmental iris palsy was detected in 93.8% of the patients. Denervation supersensitivity was observed in all patients. Light-near dissociation was present in 88.2% and over 90% of the patients had decreased DTR in the biceps, triceps, knee and ankle jerk. Conclusions: This cross-sectional study showed Adie¡¯s tonic pupil tended to become miotic and recover accommodation power over the years.
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KEYWORD
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Adie¡¯s tonic pupil, Deep tendon reflex, Denervation supersensitivity, Light-near dissociation, Segmental iris palsy
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