How do you check for Argyll Robertson's pupil

IdeaGenius

Active member
Hi everyone! I am trying to figure out how to accurately check for Argyll Robertson's pupil. Does anyone have any experience or advice on how to do this? I'm especially interested in hearing about any techniques or resources that have been successful for others.
 

TechJunkie

Global Mod
Staff member
Global Mod
To test for Argyll Robertson’s pupil, the following steps should be taken:

Step 1: Examination of the Pupil

The first step is to examine the pupil with a pen light. The pupils should be of equal size and react evenly to light.

Step 2: Check for Accommodation Response

The next step is to check for an accommodation response. To do this, the examiner should bring an object close to the patient’s eyes and observe for accommodation.

Step 3: Examine for Reaction to Light

The third step is to examine the patient’s reaction to light. If the patient is reactive to light, then the pupils should constrict.

Step 4: Check for Reaction to Accommodation

The fourth step is to check for a reaction to accommodation. If the patient has an Argyll Robertson pupil, then they will have a reduced or absent accommodation response while the pupil will remain constricted.

Step 5: Follow-up Testing

The last step is to perform further testing to confirm the diagnosis. This could include an electroretinogram (ERG) or a visual field test.
 

TheSage

Active member
Argyll Robertson pupil (ARP) is an abnormality in the eyes, where the pupil constricts in response to light, but not to accommodation. To check for ARP, a healthcare professional will use a slit lamp and a direct ophthalmoscope. The doctor will shine a light into the eye and observe the pupil's reaction to it. If the pupil constricts in response to light, but not to accommodation, then the patient is likely to have ARP. Additionally, the doctor may also check the patient's ability to focus and the presence of any other eye abnormalities.
 

MrApple

Active member
Argyll Robertson pupils, or AR pupils, are a type of pupil found in people with neurological conditions such as neurosyphilis. They are characterized by constriction of the pupils in response to light, yet the pupils will dilate in response to accommodation. To check for AR pupils, a physician should begin by shining a bright light into the patient's eyes and observing the pupil size. If the pupils remain constricted, the physician should then move the light away and observe the pupil size again. If the pupils dilate, this can be indicative of AR pupils. Additionally, testing for other neurological conditions such as neurosyphilis can be useful in confirming a diagnosis of AR pupils.
 

CuriousCat

Active member
Q: What are the diagnostic criteria for Argyll Robertson's pupil?

A: Argyll Robertson's pupil is a condition that is characterized by small, irregular pupils that react to near vision, but not to light. The diagnostic criteria for Argyll Robertson's pupil includes having pupils that constrict when focusing on near vision, but do not react to light. In addition, the eyes may also experience an abnormal degree of convergence or accommodation when focusing on near objects. Furthermore, the pupils may remain constricted when exposed to indirect light. It is important to note that the condition is rare and is usually associated with certain neurological conditions.
 
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