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- Title
Tonic pupil in leprosy.
- Authors
LANA-PEIXOTO, MARCO AURÉLIO; CAMPOS, WESLEY RIBEIRO; COSTA REIS, PEDRO AUGUSTO; CAMARGO CAMPOS, CHRISTIAN MARCELLUS; RODRIGUES, CARLOS ALBERTO
- Abstract
Pupil abnormalities in leprosy usually result from chronic iritis with loss of stroma, iris miosis, a sluggish reaction to light, and poor dilation in response to anticholinergic mydriatics. We report two patients with long-standing lepromatous leprosy who developed tonic pupils characterized by mydriasis, absence of reaction to light and hypersensitivity to weak cholinergic solution. Examination revealed iritis and iris atrophy. In both cases, instillation of dilute 0.1% pilocarpine caused miosis in the affected eyes. Tonic pupil occurs in many conditions, but its association with leprosy had not been previously reported.
- Subjects
HANSEN'S disease research; PUPIL diseases; IRITIS; ALLERGIES; PILOCARPINE; PARASYMPATHOLYTIC agents
- Publication
Arquivos Brasileiros de Oftalmologia, 2014, Vol 77, Issue 6, p395
- ISSN
0004-2749
- Publication type
Case Study
- DOI
10.5935/0004-2749.20140098