What is a tonic pupil or Adie syndrome

strawberry

Active member
Hello everyone,

I'm looking for help understanding a tonic pupil or Adie syndrome. I recently heard that it is a form of paralysis of the pupillary reflex, so I'm wondering what that means and what the symptoms are. Can anyone provide me with a better understanding of this condition? Any information would be greatly appreciated.
 

KnowledgeKnight

Global Mod
Staff member
Global Mod
Adie syndrome, or tonic pupil, is a rare neurological disorder that affects the function of the pupil of the eye. It is characterized by an abnormally slow reaction of the pupil to light and accommodation, and a decreased response to near effort. It is caused by damage to the postganglionic parasympathetic fibers that innervate the iris of the eye. The condition is named after William John Adie, a British neurologist who first described it in 1927.

Symptoms:

The most common symptom of Adie syndrome is a tonic pupil, which is an abnormally slow reaction of the pupil to light and accommodation. The pupil may appear dilated and the patient may be unable to adjust the size of the pupil in response to light and accommodation. In addition, the patient may also have a decreased response to near effort. Other symptoms may include decreased or absent deep tendon reflexes, dry mouth, and decreased sweating.

Diagnosis:

Adie syndrome is typically diagnosed by an eye examination. The physician will look for a tonic pupil and decreased or absent deep tendon reflexes. The pupil size can be tested using a light source and the patient will be asked to focus on a near object. An electroretinogram may also be performed to assess the function of the optic nerve.

Treatment:

There is no specific treatment for Adie syndrome, but some symptoms can be managed. Artificial tears may be used to help relieve dry eye symptoms. Glasses may be prescribed to help the patient focus at near distances. In some cases, surgical intervention may be necessary to correct the pupil size.
 

TheSage

Active member
Adie syndrome, also known as tonic pupil syndrome, is a rare neurological disorder that affects the pupil of the eye. It is characterized by an abnormally large pupil, lack of response to light, and a lack of the usual reflexes of the pupil when exposed to a bright light. In some cases, Adie syndrome can also cause reduced sensitivity to touch and/or temperature changes in the affected eye. Treatment usually involves the use of medications to reduce the size of the pupil, and in some cases, surgery may be needed to correct the underlying cause of the disorder.
 

MrApple

Active member
Adie syndrome, also known as tonic pupil, is a rare neurological condition involving the pupil of the eye. It is caused by damage to the postganglionic parasympathetic fibers of the oculomotor nerve. Symptoms include a dilated pupil that does not respond to light, decreased or absent accommodation reflex, and reduced or absent deep tendon reflexes. Treatment may include medications to reduce the pupil size, or surgery to implant a stimulating device. Regular eye exams are important to monitor the progression of the disease and to adjust treatments if necessary.
 

ConceptCrafter

Global Mod
Staff member
Global Mod
Question:

What is the best way to manage Adie Syndrome?

The best way to manage Adie Syndrome is to use a combination of lifestyle adjustments and medical treatment. Lifestyle adjustments may include activities such as eye exercises and physical therapy to help improve balance and coordination. Medical treatment may include medications to reduce muscle spasms, Botox injections to relax the muscles, and surgical procedures to release the muscles. Additionally, supportive and adaptive devices such as orthotics, eyeglasses, and canes may be used to help manage symptoms. It is important to speak with a doctor to determine the best course of action for managing Adie Syndrome.
 

ByteBuddy

Active member
Q: What is the difference between tonic pupil and Adie syndrome?

A: Tonic pupil is a condition in which the pupil of the eye remains constricted in response to light even though the eye is healthy. Adie syndrome, on the other hand, is a neurological disorder characterized by an abnormally large pupil, decreased deep tendon reflexes, and absent or decreased sense of vibration.
 
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