![]() ![]() ![]() In 1906 Markus had described an isolated case of partial iridoplegia, and Weill and Reys also described tonic pupil reactions to convergence and accommodation with areflexia. Several times did I pertinaciously inquire for other symptoms of tabes there were no other symptoms of any kind.…Dr Buzzard …confirmed the above observations. Neither I nor Mr Couper found the smallest trace of the knee phenomenon. It had been so three years…the right pupil was dilated and absolutely motionless to light, and also during accommodation, yet the accommodation itself on this side was perfect this was severely tested by Mr Couper…this case at first puzzled me…It occurred to me to test the knees. Later, Adie related ‘atypical ‘forms, less clearly defined, but he included some forms of ‘internal ophthalmoplegia and complete light rigidity with atonic convergence reaction.’īefore Adie, Hughlings Jackson in 1881 had also clearly described the same disorder :Ī woman aged 26 was sent to see me simply because the right pupil was much larger than the left. ![]() Later in the same year both Saenger and Nonne reported further cases for which Saenger proposed the name ‘myotonic pupillary movement’ to distinguish it from other forms of mydriasis or abnormal pupillary reflexes. Her left pupil is not affected like the right but in every degree of light and distance, it is contracted rather more than is usual in other persons.… Several instances have come under my notice, in which the pupil of one eye has become dilated to a great degree, and has been incapable of contracting on an increase of light.Īdie stated: ‘The tonic or myotonic pupillary reaction was first described in 1902 by Saenger in the left pupil of a 34-year-old woman) and by Strasburger in a 17-year-old man independently. His patient, whose pupillary abnormality had been known for twenty years, was:Ī lady between thirty and forty years of age, the pupil of whose right eye, when she is not engaged in reading, or in working with her needle, is always dilated very nearly to the rim of the cornea but whenever she looks at a small object, nine inches from the eye, it contracts, within less than a minute, to a size nearly as small as the head of a pin. In 1818 the London ophthalmologist, James Ware (1756–1815), described a patient who may have had a myotonic pupil. Adie was not the first to observe this uncommon curiosity and its variant manifestations. Usually seen in females, in 80% of cases it is unilateral. Foster Moore has described seven cases under the title ‘Non-luetic Argyll Robertson pupil. Five of the six cases I am about to describe came under my notice in the course of a few weeks … Though harmless in itself it merits recognition because it is often mistaken for a manifestation of syphilis of the nervous system, with unfortunate consequences… Mr. I wish to draw attention to a benign symptomless disorder characterized by pupils which react on accommodation but not to light, and by absent tendon reflexes. The harmless condition of a dilated pupil which reacts abnormally slowly (myotonic) to light and convergence was fully described in 1931 by William John Adie (1886-1935), of the National Hospital, Queen Square: ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |