Adie's Pupil (About a Case)
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Published
Jan 20, 2021
Page:
29-32
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M. Bouchaar
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
S. Bajjouk
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
S. Haddougui
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
B. Houda
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
F. El Asri
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
K. Reda
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
A. Oubaaz
Department of Ophthalmology of the Cheikh Khalifa, Ibn Zaid University Hospital, Casablanca, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.
Abstract
Adie syndrome is a relatively common neurological disorder of unknown etiology comprising unilateral or bilateral tonically dilated pupils with light-near dissociation and tendon are flexia . Adie syndrome is mostly idiopathic with no identifiable cause but may rarely be caused by local disorders involving the orbit that affect the ciliary ganglion including infections such as syphilis, varicella, autoimmune hepatitis, sarcoidosis. Adie's syndrome is a clinical diagnosis. Low-concentration pilocarpine (one-eighth to one-tenth percent) test may be useful to demonstrate the cholinergic denervation supersensitivity (80% prevalent) in the tonic pupil. The usual treatment of a standardised Adie syndrome is to prescribe reading glasses to correct for impairment of the eye(s) if it exist. Adie's syndrome is not life-threatening or disabling. As such, there is no mortality rate relating to the condition. We report a case of a young man without a history of medical pathology, who presented with an isolated pupil of adie for ten months.
Keywords:
Adie syndrome, neurological disorder, tendon, pupil, vision, oculomotor, muscles, ciliary ganglion, lyme disease, sjögren's syndrome, choroidal tumors.
Article Details
How to Cite
Bouchaar, M., Bajjouk, S., Haddougui, S., Houda, B., Asri, F. E., Reda, K., & Oubaaz, A. (2021). Adie’s Pupil (About a Case). Asian Journal of Research and Reports in Ophthalmology, 4(1), 29-32. Retrieved from http://www.journalajrrop.com/index.php/AJRROP/article/view/30126
Section
Case Study
References
Holmes-Adie syndrome information page. National Institute of Neurological Disorders and Stroke.
Archived from the original on 2007-10-16. Retrieved. 2008-01-21.
Siddiqui AA, Clarke JC, Grzybowski A. (November). "William John Adie: The man behind the syndrome" (PDF). Clinical & Experimental Ophthalmology. 2014;42(8):778–84.
Leavitt JA, Wayman LL, Hodge DO, Brubaker RF. Pupillary response to four concentrations of pilocarpine in normal subjects: Application to testing for Adie tonic pupil. Am J Ophthalmol. 2002;133(3):333-6.
ROSS AT. Progressive selective sudomotor denervation; a case with coexisting adie's syndrome. Neurology. 1958;8(11):809-17.
Weller M, Wilhelm H, Sommer N, Dichgans J, Wiethölter H. Tonic pupil, areflexia and segmental anhidrosis: Two additional cases of ross syndrome and review of the literature. J Neurol. 1992;239(4):231-4.
Sakai T, Shikishima K, Mizobuchi T, Yoshida M, Kitahara K. Bilateral tonic pupils associated with neurosyphilis. Jpn J Ophthalmol. 2003;47(4):368-71.
Stricker RB, Winger EE. Holmes-Adie syndrome and lyme disease. Lancet. 2001;357(9258):805. [PubMed].
Cerny R, Rozsypal H, Kozner P, Machala L. Bilateral Holmes-Adie syndrome as an early manifestation of the HIV neuropathy. Neurol Sci. 2010;31(5):661-3.
Foroozan R, Buono LM, Savino PJ, Sergott RC. Tonic pupils from giant cell arteritis. Br J Ophthalmol. 2003;87(4):510-2.
Purvin VA. Adie's tonic pupil secondary to migraine. J Neuroophthalmol. 1995;15(1):43-4.
Bennett JL, Pelak VA, Mourelatos Z, Bird S, Galetta SL. Acute sensorimotor polyneuropathy with tonic pupils and an abduction deficit: An unusual presentation of polyarteritis nodosa. Surv Ophthalmol. 1999;43(4):341-4.
Garza Leon M, Herrera-Jimenez IP, González-Madrigal PM. Complete Vogt-Koyanagi-Harada disease and Holmes-Adie syndrome: Case Report. OculImmunol Inflamm. 2014;22(4):336-40.
Guaraldi P, Mathias CJ. Progression of cardiovascular autonomic dysfunction in Holmes-Adie syndrome. J Neurol Neurosurg Psychiatry. 2011;82(9):1046-9.
Kobayashi M, Takenami T, Kimotsuki H, Mukuno K, Hoka S. Adie syndrome associated with general anesthesia. Can J Anaesth. 2008;55(2):130-1.
Goldstein SM, Liu GT, Edmond JC, Katowitz JA, Rorke LB. Orbital neural- glial hamartoma associated with a congenital tonic pupil. J AAPOS. 2002; 6(1):54-5.
Bruno MK, Winterkorn JM, Edgar MA, Kamal A, Stübgen JP. Unilateral Adie pupil as sole ophthalmic sign of anti-Hu paraneoplastic syndrome. J Neuroophthalmol. 2000;20(4):248-9.
Wirtz PW, de Keizer RJ, de Visser M, Wintzen AR, Verschuuren JJ. Tonic pupils in Lambert-Eaton myasthenic syndrome. Muscle Nerve. 2001;24(3):444-5.
Kaur S, Aggarwal P, Jindal N, Dayal S, Jairath V, Jain VK, Virdi S. Harlequin syndrome: A mask of rare dysautonomic syndromes. Dermatol Online J. 2015;21(4).
Cheshire WP, Goldstein DS. The physical examination as a window into autonomic disorders. Clin Auton Res. 2018;28(1):23-33.
Zhang L, Luo S, Jin H, Lv X, Chen J. Anti-hu antibody-associated adie's pupil and paraneoplastic sensorimotor polyneuropathy caused by primary mediastinal small cell carcinoma. Front Neurol. 2019;10:1236.
Archived from the original on 2007-10-16. Retrieved. 2008-01-21.
Siddiqui AA, Clarke JC, Grzybowski A. (November). "William John Adie: The man behind the syndrome" (PDF). Clinical & Experimental Ophthalmology. 2014;42(8):778–84.
Leavitt JA, Wayman LL, Hodge DO, Brubaker RF. Pupillary response to four concentrations of pilocarpine in normal subjects: Application to testing for Adie tonic pupil. Am J Ophthalmol. 2002;133(3):333-6.
ROSS AT. Progressive selective sudomotor denervation; a case with coexisting adie's syndrome. Neurology. 1958;8(11):809-17.
Weller M, Wilhelm H, Sommer N, Dichgans J, Wiethölter H. Tonic pupil, areflexia and segmental anhidrosis: Two additional cases of ross syndrome and review of the literature. J Neurol. 1992;239(4):231-4.
Sakai T, Shikishima K, Mizobuchi T, Yoshida M, Kitahara K. Bilateral tonic pupils associated with neurosyphilis. Jpn J Ophthalmol. 2003;47(4):368-71.
Stricker RB, Winger EE. Holmes-Adie syndrome and lyme disease. Lancet. 2001;357(9258):805. [PubMed].
Cerny R, Rozsypal H, Kozner P, Machala L. Bilateral Holmes-Adie syndrome as an early manifestation of the HIV neuropathy. Neurol Sci. 2010;31(5):661-3.
Foroozan R, Buono LM, Savino PJ, Sergott RC. Tonic pupils from giant cell arteritis. Br J Ophthalmol. 2003;87(4):510-2.
Purvin VA. Adie's tonic pupil secondary to migraine. J Neuroophthalmol. 1995;15(1):43-4.
Bennett JL, Pelak VA, Mourelatos Z, Bird S, Galetta SL. Acute sensorimotor polyneuropathy with tonic pupils and an abduction deficit: An unusual presentation of polyarteritis nodosa. Surv Ophthalmol. 1999;43(4):341-4.
Garza Leon M, Herrera-Jimenez IP, González-Madrigal PM. Complete Vogt-Koyanagi-Harada disease and Holmes-Adie syndrome: Case Report. OculImmunol Inflamm. 2014;22(4):336-40.
Guaraldi P, Mathias CJ. Progression of cardiovascular autonomic dysfunction in Holmes-Adie syndrome. J Neurol Neurosurg Psychiatry. 2011;82(9):1046-9.
Kobayashi M, Takenami T, Kimotsuki H, Mukuno K, Hoka S. Adie syndrome associated with general anesthesia. Can J Anaesth. 2008;55(2):130-1.
Goldstein SM, Liu GT, Edmond JC, Katowitz JA, Rorke LB. Orbital neural- glial hamartoma associated with a congenital tonic pupil. J AAPOS. 2002; 6(1):54-5.
Bruno MK, Winterkorn JM, Edgar MA, Kamal A, Stübgen JP. Unilateral Adie pupil as sole ophthalmic sign of anti-Hu paraneoplastic syndrome. J Neuroophthalmol. 2000;20(4):248-9.
Wirtz PW, de Keizer RJ, de Visser M, Wintzen AR, Verschuuren JJ. Tonic pupils in Lambert-Eaton myasthenic syndrome. Muscle Nerve. 2001;24(3):444-5.
Kaur S, Aggarwal P, Jindal N, Dayal S, Jairath V, Jain VK, Virdi S. Harlequin syndrome: A mask of rare dysautonomic syndromes. Dermatol Online J. 2015;21(4).
Cheshire WP, Goldstein DS. The physical examination as a window into autonomic disorders. Clin Auton Res. 2018;28(1):23-33.
Zhang L, Luo S, Jin H, Lv X, Chen J. Anti-hu antibody-associated adie's pupil and paraneoplastic sensorimotor polyneuropathy caused by primary mediastinal small cell carcinoma. Front Neurol. 2019;10:1236.