Title |
Reversal of Pupillary Atonia After Removal of an Encircling Band |
Creator |
Fion D. Bremner, MD, PhD, FRCOphth; Hadi Zambarakji, DM, FRCOphth; Cavelle Griffiths, BSc, MCOptom |
Affiliation |
National Hospital for Neurology and Neurosurgery (FDB), London, United Kingdom; and Barts Health NHS Trust (HZ, CG), Whipps Cross University Hospital, London, United Kingdom |
Abstract |
We describe a patient who developed an atonic pupil after placement of an encircling band during retinal detachment surgery. When the band was removed 18 months later, the pupil signs showed partial recovery demonstrating a degree of reversibility of the parasympathetic paresis. We speculate that in this case mechanical deformation of the sclera by the encircling band had produced a conduction block of the short posterior ciliary nerve fibers as they pass forward in the underlying suprachoroidal space. |
Subject |
Adie Syndrome; Female; Humans; Ophthalmologic Surgical Procedures; Perceptual Disorders; Postoperative Complications; Retinal Detachment; Visual Acuity; Young Adult |
Format |
application/pdf |
Publication Type |
Journal Article |
Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
Publisher |
Lippincott, Williams & Wilkins |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
© North American Neuro-Ophthalmology Society |
Setname |
ehsl_novel_jno |
ID |
227613 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6kh3tdd/227613 |