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1 Figure-16Pathophysiology of signs associated with a tonic pupilPathophysiology of signs associated with a tonic pupil. Normally, all parasympathetic fibers of the third cranial nerve synapse in the ciliary ganglion (top). Most postganglionic fibers innervate the ciliary muscle (dashed lines). After injury to the ciliary ganglion, the pupil becomes denervated an...Adie's tonic pupil; Pupil Disorders; Iris/physiopathology; pupil
2 Figure-17Pupil signs in a 32-year-old woman with right-sided Adie's pupilPupil signs in a 32-year-old woman with right-sided Adie's pupil. The right pupil is larger than the left pupil (top), reacts poorly to direct light stimulation (second panel), and better in response to near stimulation (third panel). The right pupil also shows a supersensitive response 30 minutes a...Adie's tonic pupil; Pupil/innervation; Pupil/drug effects; Pupil/physiology
3 1-3Sector Palsies and Light-Near DissociationExample of patient with bilateral Adie’s pupils. Exam is performed with a slit-lamp. Shows iris stroma and focal segments of iris sphincter that retain their contractilty. Suggests post-ganglionic parasympathetic denervation.Sector Palsies; Light-Near Dissociation; Bilateral Adie's Pupil; Adie's Tonic Pupil
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