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Case Reports

Bilateral Tonic Pupils in the Absence of Pupillary Cholinergic Supersensitivity

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Pages 12-14 | Received 07 Aug 2010, Accepted 17 Sep 2010, Published online: 16 Jan 2011
 

Abstract

We report a 24-year-old woman with a presenting complaint of bilateral dilated pupils. The pupils were found to be dilated in bright and dim room lighting with minimal light reaction, showed an accommodation response, but did not demonstrate cholinergic supersensitivity. Neurological examination and neuro-imaging of the patient were normal. Syphilis serology was negative. This case emphasises that tonic pupil may be found in the absence of pupillary cholinergic supersensitivity.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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