Tonic pupil and sarcoidosis

Autor: Syndee J Givre, Esther M. Bowie
Rok vydání: 2003
Předmět:
Zdroj: American journal of ophthalmology. 135(3)
ISSN: 0002-9394
Popis: Purpose To present a case of tonic pupil associated with enhancement in the region of the ciliary ganglion on magnetic resonance imaging in a patient with sarcoidosis. Design Observational case report. Methods A 52-year-old woman with sarcoidosis had a right pupil exhibiting sectoral palsy to light and light-near dissociation. Results Topical administration of 0.1% pilocarpine demonstrated supersensitivity of the right pupillary sphincter muscle. Magnetic resonance imaging (MRI) with contrast revealed enhancement in the region of the right ciliary ganglion. Conclusions Tonic pupil may be a manifestation of sarcoidosis, and in such cases, MRI may show enhancement at the level of the ciliary ganglion. Sarcoidosis should be included in the differential diagnosis of tonic pupil.
Databáze: OpenAIRE