Aberrant Regeneration of the Right Pupil

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Identifier Figure-15
Title Aberrant Regeneration of the Right Pupil
Creator Kathleen B. Digre, MD
Contributors Daniel M. Jacobson, MD (1956-2003)
Affiliation (KBD) Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of Medicine, Salt Lake City, Utah; (DMJ) Neuro-Ophthalmologist, Marshfield Clinic, University Iowa College of Medicine, Iowa City, Iowa
Subject Pupil Disorders; Aberrant Regeneration; Third Nerve Palsy
Description Aberrant regeneration of the right pupil in a man with a large intracavernous sinus meningioma causing a pupil-involving, incomplete third cranial nerve palsy. His pupil is round when he gazes straight ahead (top). When he tries to rotate the eye medially, the pupil constricts, but a segment of the iris from around 3- to 6-o' clock (black arrow) constricts much better than other segments of the iris (bottom). This phenomenon of segmental constriction of the pupil in response to gaze, one of the signs of aberrant regeneration, is referred to as Czarnecki's sign.
Date 2002
References Ford FR, Walsh FB, King A: Clinical observations on the pupillary phenomenon resulting from regeneration of the third nerve with especial reference to the Argyll Robertson pupil. Bull Johns Hopkins Hosp 1941;68:309-318.
Language eng
Format image/jpeg
Type Image
Relation is Part of The Pupil: Neurology of the Iris
Collection Neuro-Ophthalmology Virtual Education Library: Moran Eye Center Collection: https://novel.utah.edu/Moran/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 1986. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s64r0s6j
Setname ehsl_novel_jmec
ID 180387
Reference URL https://collections.lib.utah.edu/ark:/87278/s64r0s6j
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