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DictionarySeepupiltonic pupil
pupil (P) [pu´pil] the opening in the center of the iris through which light enters the eye; see also Plate 17.Adie's pupil tonic pupil.Argyll Robertson pupil one that is miotic and responds to accommodation effort, but not to light.fixed pupil a pupil that does not react either to light or on convergence, or in accommodation.Hutchinson's pupil one that is dilated while the other is not.tonic pupil a usually unilateral condition of the eye in which the affected pupil is larger than the other, responds to accommodation and convergence in a slow, delayed fashion, and reacts to light only after prolonged exposure to dark or light; see also adie's syndrome. Called also Adie's pupil.ton·ic pu·pila general term for a pupil with delayed, slow, long-lasting contractions to light and to a near vision effort, often with light-near dissociation; due to denervation and aberrant reinnervation of the iris sphincter; seen in various autonomic neuropathies and in Adie syndrome.ton·ic pu·pil (ton'ik pyū'pil) A general term for a pupil with delayed, slow, long-lasting contractions to light and to a near vision effort, often with light-near dissociation; due to denervation and aberrant reinnervation of the iris sphincter; seen in various autonomic neuropathies and in Adie syndromepupil (pu'pil) [L. pupilla, little doll (the reflection in the pupil)] PUPIL DILATIONThe contractile opening at the center of the iris of the eye. It is constricted when exposed to strong light and when the focus is on a near object; is dilated in the dark and when the focus is on a distant object. Average diameter is 4 to 5 mm. The pupils should be equal. See: pupilla; illustrationDifferential DiagnosisConstriction of the pupil occurs, for example, in bright light and after exposure to drugs such as morphine, pilocarpine, physostigmine, eserine, and other miotics. Dilation of the pupil is most often observed after treatment with mydriatic drugs (such as atropine, scopolamine, or homatropine), but may also be caused by paralysis of cranial nerve III, intracranial masses or trauma, sympathetic nervous system stimulation, and other pupillary stimuli. Adie pupil See: Adie, William JohnArgyll Robertson pupil See: Argyll Robertson pupilartificial pupilA pupil made by iridectomy when the normal pupil is occluded.bounding pupilRapid dilatation of a pupil, alternating with contraction.Bumke pupilDilatation of the pupil owing to psychic stimulus.cat's-eye pupilA pupil that is narrow and slitlike.cornpicker's pupilsDilated pupils found in agricultural workers who are exposed to dust from jimsonweed. The dust contains stramonium, a mydriatic. fixed pupilA pupil that does not react to stimuli.Gunn pupil See: Gunn, Robert Marcuskeyhole pupilA pupil with an artificial coloboma at the pupillary margin.luetic pupilArgyll Robertson pupil.Marcus Gunn pupil See: Gunn, Robert Marcuspinhole pupilA pupil of minute size; one excessively constricted; seen after use of miotics, in opium poisoning, and in certain brain disorders.Robertson pupil See: Argyll Robertson pupilstiff pupilArgyll Robertson pupil.tonic pupilAdie pupil |