Disorders of pupillary structure and function

Neurologic Clinics
Pierre-François Kaeser, Aki Kawasaki

Abstract

Neurologists are frequently consulted because of a pupillary abnormality. An unequal size of the pupils, an unusual shape, white colored pupils, or a poorly reactive pupil are common reasons for referral. A directed history and careful observation of the iris and pupil movements can bear out ocular pathology such as congenital or structural anomalies as the cause of abnormal pupils. Thereafter, it is important to evaluate the neurologic causes of anisocoria and poor pupil function. The first part of this article emphasizes pupillary abnormalities frequently encountered in infants and children and discusses some of the more common acquired iris structural defects. The second part focuses on evaluation of lesions in the neural pathways that result in pupillary dysfunction, with particular attention to those conditions having neurologic, systemic, or visual implications.

References

Nov 15, 1992·American Journal of Ophthalmology·S R Kodsi, B R Younge
Aug 15, 1990·American Journal of Ophthalmology·S J IsenbergM Vazquez
Oct 1, 1986·Archives of Neurology·J D BartlesonT M Sundt
Sep 15, 1998·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·D M Jacobson, R A Vierkant
Aug 24, 1999·American Journal of Ophthalmology·L A Schumacher-FeeroA W Biglan
Sep 24, 2002·Brain : a Journal of Neurology·Barbara J WilhelmJohn L Barbur
Aug 13, 2003·Archives of Ophthalmology·Sandra M BrownKenn A Freedman
Jan 23, 2004·The British Journal of Ophthalmology·G J Ben SimonS Melamed
Apr 7, 2005·Lancet·Roy Freeman
Nov 3, 2005·Survey of Ophthalmology·Madhavi Kurli, Paul T Finger
Apr 29, 2006·Survey of Ophthalmology·Faisal IdreesPeng T Khaw
May 13, 2006·European Journal of Pediatrics·Christophe OrssaudJean Louis Dufier
Jul 18, 2006·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·H Stanley Thompson, Randy H Kardon
Sep 13, 2006·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Fion D Bremner, Stephen E Smith
May 10, 2008·Neuroimaging Clinics of North America·Deborah L ReedeRandy Kardon
Oct 22, 2008·Acta Ophthalmologica·Helena LeeMichael O'Keefe
Aug 12, 2009·Current Neurology and Neuroscience Reports·Mansoor Mughal, Reid Longmuir

❮ Previous
Next ❯

Citations

Feb 18, 2011·Journal of Neurology·Marco OnofrjAstrid Thomas
Feb 23, 2019·Frontiers in Neurology·Fion D Bremner, Allan J Drapkin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.