Adie’s pupil and systemic manifestations: a rare unilateral presentation
We present a case of a young woman who presented with blurring of vision in her right eye, worsening on near work. Detailed ophthalmic and neurological evaluation was done, which revealed light near dissociation, vermiform iris movements, constriction to diluted pilocarpine with absent deep tendon r...
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| Format: | Article |
| Language: | English |
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German Medical Science GMS Publishing House
2024-12-01
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| Series: | GMS Ophthalmology Cases |
| Online Access: | http://www.egms.de/static/en/journals/oc/2024-14/oc000246.shtml |
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| author | Vimisha, M N Virna, M Shah Karthik, Kumar Sharanya, R |
| author_facet | Vimisha, M N Virna, M Shah Karthik, Kumar Sharanya, R |
| author_sort | Vimisha, M N |
| collection | DOAJ |
| description | We present a case of a young woman who presented with blurring of vision in her right eye, worsening on near work. Detailed ophthalmic and neurological evaluation was done, which revealed light near dissociation, vermiform iris movements, constriction to diluted pilocarpine with absent deep tendon reflexes. Laboratory investigation indicated mild iron deficiency anemia and reduced vitamin D3 level. On orthopedic evaluation she was diagnosed with right knee joint arthritis and grade 1 patellar chondromalacia. Neuroimaging was within normal limits. Magnetic resonance imaging (MRI) pelvis and lumbar spine showed left ovarian cyst, small periurethral cyst and small hemagioma in left sacral ala. A diagnosis of Holmes-Adie syndrome was made and she was prescribed photochromatic glasses. |
| format | Article |
| id | doaj-art-669c033633934479b572300d79fd27ba |
| institution | OA Journals |
| issn | 2193-1496 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | German Medical Science GMS Publishing House |
| record_format | Article |
| series | GMS Ophthalmology Cases |
| spelling | doaj-art-669c033633934479b572300d79fd27ba2025-08-20T01:59:08ZengGerman Medical Science GMS Publishing HouseGMS Ophthalmology Cases2193-14962024-12-0114Doc1410.3205/oc000246Adie’s pupil and systemic manifestations: a rare unilateral presentationVimisha, M N0Virna, M Shah1Karthik, Kumar2Sharanya, R3Department of Neuro-Ophthalmology, Aravind Eye Hospital and Postgraduate Institute, Coimbatore, IndiaDepartment of Neuro-Ophthalmology, Aravind Eye Hospital and Postgraduate Institute, Coimbatore, IndiaDepartment of Neuro-Ophthalmology, Aravind Eye Hospital and Postgraduate Institute, Coimbatore, IndiaDepartment of Neuro-Ophthalmology, Aravind Eye Hospital and Postgraduate Institute, Coimbatore, IndiaWe present a case of a young woman who presented with blurring of vision in her right eye, worsening on near work. Detailed ophthalmic and neurological evaluation was done, which revealed light near dissociation, vermiform iris movements, constriction to diluted pilocarpine with absent deep tendon reflexes. Laboratory investigation indicated mild iron deficiency anemia and reduced vitamin D3 level. On orthopedic evaluation she was diagnosed with right knee joint arthritis and grade 1 patellar chondromalacia. Neuroimaging was within normal limits. Magnetic resonance imaging (MRI) pelvis and lumbar spine showed left ovarian cyst, small periurethral cyst and small hemagioma in left sacral ala. A diagnosis of Holmes-Adie syndrome was made and she was prescribed photochromatic glasses.http://www.egms.de/static/en/journals/oc/2024-14/oc000246.shtml |
| spellingShingle | Vimisha, M N Virna, M Shah Karthik, Kumar Sharanya, R Adie’s pupil and systemic manifestations: a rare unilateral presentation GMS Ophthalmology Cases |
| title | Adie’s pupil and systemic manifestations: a rare unilateral presentation |
| title_full | Adie’s pupil and systemic manifestations: a rare unilateral presentation |
| title_fullStr | Adie’s pupil and systemic manifestations: a rare unilateral presentation |
| title_full_unstemmed | Adie’s pupil and systemic manifestations: a rare unilateral presentation |
| title_short | Adie’s pupil and systemic manifestations: a rare unilateral presentation |
| title_sort | adie s pupil and systemic manifestations a rare unilateral presentation |
| url | http://www.egms.de/static/en/journals/oc/2024-14/oc000246.shtml |
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