Please note that only limited free access to this journal is available in your country or territory.

To access the full content of this article you must purchase it (US$9.49). After payment of this one-off fee, you will gain unrestricted online access to the article and a PDF version sent to your email.

As part of our special introductory offer, after purchasing this article you will have unrestricted access to all the articles in this issue for free!

Registered users can purchase/access the article by logging in below. To register for free click here

Registered users login here:

  • Email Address:
     
  • Password:
     
  •  
If you have forgotten your password click here
0 rating

Neuropathy

Bremner FD, Smith SE.

National Hospital for Neurology and Neurosurgery, London, UK.

 Br J Ophthalmol 2007;91:1620–3.

Editor’s note: Diagnosis of the benign condition of Holmes–Adie syndrome is usually appropriate in patients with unilateral tonic pupil and tendon areflexia. In patients presenting with bilateral tonic pupils and tendon areflexia, the possibility of a generalized peripheral or autonomic neuropathy, such as widespread diabetic autonomic neuropathy with its poor prognosis, needs to be considered. This article presents a review of the pupillo-graphic results of 140 consecutive patients with bilateral tonic pupils. The authors document that the presence of anisocoria of >1 mm in the light, which probably reflects consecutive rather than simultaneous onset of pupillary dysfunction, and sector palsy can reliably identify Holmes–Adie syndrome in these subjects.

Please login or register to continue reading this article
Return to top
Login/Register

Post Page On

LATEST ARTICLES

Our most popular articles