Argyll-Robertson pupil

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Argyll Robertson Pupil

Examination

• General
  • bilateral ptosis
• Acuity
  • may be decreased (diabetic causes)
• Fields
  • Normal
• Pupils
  • small
  • irregular
  • NO response to light
  • normal response to accommodation
  • (Prostitutes pupil - accommodates but doesn't react)
• Eye movements normal
• Fundi
  • optic atrophy → syphilis
  • Diabetic Fundus

"I would like to"

• check syphilis serology
• urine glucose

Causes

• Neurosyphilis
• Diabetes Mellitus
• Pineal gland tumours

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