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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.
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