Unequal pupils

Chapter 112 Unequal pupils

When anisocoria is found in a child, a simple step-by-step routine can be followed as outlined in Fig. 112.1. Anisocoria can be thought of as being due to one of four problems:

Oculomotor palsy

Anisocoria caused by congenital oculomotor palsy is rare and will virtually always be accompanied by some degree of ocular motility disturbance1,2 (see Chapters 82 and 83). The pupil may be spared or paradoxically miotic in congenital oculomotor palsies and congenital dysinnervation disorders. Adie’s pupil is extremely uncommon in the first decade of life except in association with chicken pox infection.

Jun 4, 2016 | Posted by in OPHTHALMOLOGY | Comments Off on Unequal pupils

Full access? Get Clinical Tree

Get Clinical Tree app for offline access