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08 March 2022: Review Articles

Adie’s Pupil: A Diagnostic Challenge for the Physician

Sui-yi Xu EG* , Mao-mei Song BC* , Ling Li DF* , Chang-xin Li A*

DOI: 10.12659/MSM.934657

Med Sci Monit 2022; 28:e934657

Table 1 Literature review of Adie’s pupil cases from 2010 to 2020.

Literature reviewSex/ageClinical manifestationsUnilateral/bilateralResponse to dilute pilocarpineAccompanied diseaseTreatment
Takata []7 Male/30Blurred visionLeftLeft pupil constriction (0.125%)NeurosyphilisPenicillin G
Camoriano []8 Male/39Blurred visionRightRight pupil constriction (0.125%)NeurosyphilisPenicillin G
Jivraj []9 Female/38Blurred visionBilateralBilateral pupil constriction (0.1%)NeurosyphilisPenicillin G
Rissardo []10 Male/23Blurred visionLeftNANeurosyphilisPenicillin G
Gu []11 Male/41Blurred visionLeftLeft pupil constriction (0.5%)NeurosyphilisCeftriaxone
Pecero-Hormigo []12 Male/33Blurred visionRightNANeurosyphilisPenicillin G
Reyes []13 Male/30NoBilateralBilateral pupil constriction (0.125%)Neurosyphilis AIDSPenicillin G
Cerny []14 Female/38Blurred vision, pain behind the eyeball, photophobiaBilateralBilateral pupil constriction (0.1%)AIDSTenofovir
Ortiz-Seller []15 Female/51Blurred vision, pain behind the eyeballBilateralBilateral pupil constriction (0.1%)COVID-19Oral prednisone
Ordás []16 Male/62Blurred vision, diplopiaLeftLeft pupil constriction (0.125%)COVID-19Oral prednisone
Karadžić []17 Female/59Blurred visionLeftLeft pupil constriction (0.125%)Viral hepatitisNA
Karadžić []17 Female/55NoLeftLeft pupil constriction (0.125%)Viral hepatitisNA
Lana-Peixoto []18 Female/33NoLeftLeft pupil constriction (0.1%)LeprosyNA
Lana-Peixoto []18 Female/42NoBilateralBilateral pupil constriction (0.1%)LeprosySteroid, anti-leprosy drugs
Bhagwan []19 Female/35Blurred vision, redness of both eyesBilateralBilateral pupil constriction (0.1%)Sjogren syndromeNA
Bhagwan []19 Female/45Blurred visionBilateralBilateral pupil constriction (0.1%)Sjogren syndromeIVIg
Miranda []20 Female/51NoRightRight pupil constriction (0.125%)Sjogren syndromeNA
Robles-Cedeño []21 Female/23Blurred vision, diplopia, photophobiaBilateralBilateral pupil constriction (0.125%)VKH syndromeSteroid
Narang []22 Male/28Blurred visionBilateralBilateral pupil constriction (0.16%)VKH syndromeIVMP
Garza []23 Female/37Blurred vision, redness of both eyesBilateralBilateral pupil constriction (0.16%)VKH syndromePrednisolone, tropicamide-phenylephrine, betamethasone
Sevketoglu []24 Male/5NoLeftLeft pupil constriction (0.125%)GBSPlasmapheresis, IVIg
Escorcio-Bezerra []25 Female/23Blurred vision, diplopiaBilateralBilateral pupil constriction (0.125%)CIDPPlasmapheresis, corticoids
Matalia []26 Female/16Blurred visionRightRight pupil constriction (0.125%)Takayasu arteritisNA
Kaymakamzade []27 Male/17DiplopiaNANAMFSIVIg
Kaymakamzade []27 Male/66DiplopiaBilateralBilateral pupil constriction (0.125%)MFSIVIg
Morimoto []28 Female/42PhotophobiaLeftLeft pupil constriction (0.125%)AAGIVIg, IVMP
Peyman []29 Female/45Blurred vision photophobiaLeftLeft pupil constriction (0.1%)Breast cancerNA
Srinivasan []30 Male/7NoBilateralBilateral pupil constriction (0.125%)Hodgkin lymphomaChemotherapy
Horta []31 Male/48NoLeftNAHodgkin lymphomaChemotherapy
Zhang []32 Female/50NoRightRight pupil constriction (0.0625%)Mediastinal small cell carcinomaChemotherapy
Yamane []33 Female/50Blurred visionLeftLeft pupil constriction (0.125%)Adenoid cystic carcinomaNA
Han []34 Female/36Blurred visionBilateralBilateral pupil constriction (0.125%)Dorsal midbrain syndromeSurgery
Kim []35 Female/2NoLeftLeft pupil constriction (0.1%)Inferior oblique myectomyNA
Babiano []36 Male/NANoRightRight pupil constriction (0.125%)Traumatic brain injuryNA
Tafakhori []37 Female/27Blurred visionLeftLeft pupil constriction (0.125%)MigrainePilocarpine(0.125%)
Garrick []38 Female/22NoNAPupil constrictionDysautonomiaIVIg
Colak []39 Female/31Blurred visionLeftLeft pupil constriction (0.5%)NoNA
Batawi []40 Male/40Blurred vision, photophobiaRightRight pupil constriction (0.1%)NoPilocarpine (1%)
Durán-Ferreras []41 Female/16Blurred visionRightRight pupil constriction (0.125%)NoNA
Rivero Rodríguez []42 Female/21Blurred vision, photophobiaLeftLeft pupil constriction (0.125%)NoNA
NA – not available; AAG – autoimmune autonomic ganglionopathy; AIDS – acquired immunodeficiency syndrome; CIDP – chronic inflammatory demyelinating polyneuropathy; COVID-19 – coronavirus disease 2019; GBS – Guillain-Barre syndrome; IVIg – intravenous immunoglobulin; IVMP – intravenous methylprednisolone; MFS – Miller Fisher syndrome; VKH syndrome – Vogt-Koyanagi-Harada syndrome.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750