A form of reflex iridoplegia characterized by miosis, irregular shape, and a loss of the direct and consensual pupillary reflex to light, with normal pupillary constriction to a near vision effort lightnear dissociation. Trigemino autonomic cephalalgia and argyll robertson pupil scielo. Douglas argyll robertson 18371909, british ophthalmologist. Argyll robertson pupil arp it is characterised by bilateral constricted pupils. Argyll robertson pupil definition of argyll robertson. Argyllrobertson pupil definition of argyllrobertson. Argyll robertson pupil the argyll robertson pupil are known to be bilateral small sized pupils which can get constricted when a person forcefully tries to discern nearby objects. This condition was named after british ophthalmologist douglas argyll robertson. Argyll robertson pupil medical definition merriamwebster. Argyll robertson pupil radiology reference article.
Argyll robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying lightnear dissociation 1 it is a highly specific sign of late neurosyphilis, however can also occur in diabetic neuropathy, multiple sclerosis, alcoholic midbrain degeneration, and stroke 2,3. Anatomical basis of argyll robertson pupil prostitutes pupil. The criteria used in the diagnosis of argyll robertson pupil in the present study are identical with those described by argyll robertson in 1869. Synonyms for argyll robertson pupil in free thesaurus. Ideal sources for wikipedias health content are defined in the guideline wikipedia. Mar 14, 2017 argyll robertson pupil small 1 mm to 2 mm irregular in outline light near dissociation react poorly or not at all to light, but very well to near anterior visual pathway function must be normal generally bilateral and symmetric lesion lies in the periaqueductal region, pretectal area and rostral midbrain dorsal to the. Pdf inverse argyll robertson pupil in burkitts lymphoma. Moore 11 stated that in cases of nonsyphilitic conditions the pupil has special characteristics. Here are links to possibly useful sources of information about argyll robertson pupil. Argyll robertson pupil ophthalmology mcq pg blazer.
A case of adie pupil following herpes zoster ophthalmicus is described below. Argyll robertson definition of argyll robertson by the. Argyll robertson pupil small 1 mm to 2 mm irregular in outline light near dissociation react poorly or not at all to light, but very well to near anterior visual pathway function must be normal generally bilateral and symmetric lesion lies in the periaqueductal region, pretectal area and rostral midbrain dorsal to the. Argyll robertson 10 described the characteristic pupil as miotic, not responding to light but reacting normally to stimuli of accommodation and convergence, and of irregular outline, with little or no response to mydriatic drugs or psychogenic stimuli. We use your linkedin profile and activity data to personalize ads and to show you more relevant ads. The significance of the unilateral argyll robertson pupil. It is a sign of several distinct disorders of the central nervous system, such as brain tumor, multiple sclerosis, and neurosyphilis. Trephine operation for glaucoma edit argyll robertson was the first to publish a description of and results following a trephine operation for the treatment of glaucoma.
Argyll robertson pupil in one eye refers to a condition in which the pupil of one eye constricts when a person focuses on a near object but does not constrict normally when exposed to bright light. In general, pupils that accommodate but do not react are said to show lightnear dissociation i. The argyll robertson pupil, a miotic pupil that responds to an. Argyll robertson pupils ar pupils or colloquially prostitutes pupils are bilateral small pupils that reduce in size on a near object they accommodate, but do not constrict when exposed to bright light they do not react to light. Many and varied are the lesions postulated for the argyll robertson pupil. Argyll robertson pupils medigoo health medical tests. Argyll robertson pupil article about argyll robertson pupil. Adies pupil is caused by damage to peripheral pathways to the pupil parasympathetic neurons in the ciliary ganglion that cause pupillary constriction to bright light and with near vision. Argyll robertson pupils ar pupils are bilateral small pupils that constrict when the patient focuses on a near object they accommodate with near vision, but do not constrict when exposed to bright light they do not react to light. Shows a lack of pupillary response to light and some pupillary response to nearness of finger. The dimensions of the pupil change according to the amount of light present.
Argyll robertson pupil pupil constriction caused by syphilis. Inverse argyll robertson pupil in burkitts lymphoma article pdf available in clinical ophthalmology auckland, n. The two different types of near response are caused by different underlying disease processes. However, they do not do the same in bright light condition and thus the ailment is really something different and disturbing. In the early 20th century, william john adie described a second type of pupil that could accommodate but not react. The argyll robertson ar pupil has been defined as a pupil that is small and constricts poorly to direct light but briskly when a target within reading distance is viewed lightnear dissociation. Argyll robertson pupil synonyms, argyll robertson pupil pronunciation, argyll robertson pupil translation, english dictionary definition of argyll robertson pupil.
However, we have not seen typical argyll robertson pupils narrow pupils unreactive to light but reactive to near vision with positive. Significance of the argyll robertson pupil in clinical medicine the. Studies have failed to demonstrate a focal localising lesion. This is more properly the name of a symptom than a syndrome. Robertson spent most of his medical career in edinburgh as an eye surgeon at the. This finding is highly specific for latestage syphilis. Most descriptions of the ar pupil do not mention segmental iris sphincter constriction, or slow, sustained constriction with a near vision effort. Argyll robertson pupil an ocular finding, now of largely historic interest, for a pupil that can focus on a near object accommodate but does not react to light, which is classically described in tertiary syphilis. Douglas moray cooper lamb argyll robertson frse 1837 3 january 1909 was a scottish ophthalmologist and surgeon. Other types of eye are the simple eye, found in many invertebrates, and the compound eye, found in insects and many other click the link for more information. Argyll robertson pupil an overview sciencedirect topics. Most descriptions of the ar pupil do not mention segmental iris sphincter constriction, or slow, sustained constriction with a near vision.
They react to accommodation but show no response to light. Argyllrobertson pupil definition of argyllrobertson pupil. The argyll robertson pupil journal of neurology, neurosurgery. Argyll robertson synonyms, argyll robertson pronunciation, argyll robertson translation, english dictionary definition of argyll robertson. Trigemino autonomic cephalalgia and argyll robertson pupil. Argyll robertson pupil definition of argyll robertson pupil. They were formerly known as prostitutes pupils because of their association with. Argyll robertson pupil arp, also called ar pupils, refers to small bilateral pupils that constrict when a person tries to focus on a near object but do not constrict when the eyes are exposed to light of bright intensity 1. Argyll robertson pupil is ascribed to a lesion of intercalated neurons in the midbrain or to damage of inhibitory fibers to the oculomotor nucleus loewenfeld, 1969. The trip database provides clinical publications about.
See detailed information below for a list of 3 causes of argyll robertson pupil in one eye, symptom checker. Mar 02, 2012 we use your linkedin profile and activity data to personalize ads and to show you more relevant ads. He introduced physostigmine into ophthalmic practice and the argyll robertson pupil is named after him. Robertsons pupil is a frequent symptom of neurosyphilis, especially tabes dorsalis, and other diseases of the central nervous system, in which the pupil is small and responds slowly or not at. The argyll robertson pupil, a miotic pupil that fails to react to direct light, has been. Argyll robertson pupil synonyms, argyll robertson pupil. Argyll robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying lightnear dissociation 1. Such features are considered typical of the lightnear dissociation of adie syndrome and of neuropathic tonic pupils, where damage to the ciliary ganglion or ciliary. Pupille di argyllrobertson, pupilla di argyll robertson. Argyll robertson pupil one that is miotic and responds to accommodation effort, but not to light. Request pdf the argyll robertson pupil the argyll robertson ar.
Argyll robertson pupils are bilateral small pupils that reduce in size on a near object i. Argyll robertson pupil article about argyll robertson. Started in 1995, this collection now contains 6769 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Adies tonic pupil is usually associated with a benign. The pathophysiologic mechanism which produces an argyll robertson pupil is unclear. Argyll robertson ar pupil was first described by scottish ophthalmologist and surgeon, dr. Argyll robertson pupil plural argyll robertson pupils a bilateral small pupil of the eye that reduces in size when the patient focuses on a near object but does not constrict when exposed to bright light. Argyll robertson pupils are bilateral small pupils that reduce in size on a near object, but do not constrict when exposed to bright light. The term argyll robertson pupils was named after douglas argyll robertson 18371909, a scottish ophthalmologist and surgeon, who described the condition in the mid 1860s in the context of neurosyphilis in the early 20th century, william john adie described a second type of pupil that could accommodate but not react. Argyllrobertson pupil an ocular finding, now of largely historic interest, for a pupil that can focus on a near object accommodate but does not react to light, which is classically described in tertiary syphilis. Dr douglas moray cooper lamb argyll robertson frse, frcsed lld 1837 3 january 1909 was a scottish ophthalmologist and surgeon.
It has been reported in patients with diabetes mellitus, multiple sclerosis, wernickes encephalopathy, sarcoidosis, tumours, and haemorrhage. Helmut wilhelm, in handbook of clinical neurology, 2011. Argyll robertson pupil american journal of ophthalmology. However, we have not seen typical argyll robertson pupils narrow pupils unreactive to light but reactive to near vision with positive serological. Publications home of jama and the specialty journals of. Argyll robertson pupil describes the physical exam finding of small bilateral pupils that do not constrict when exposed to bright light but do constrict when focused on a nearby object. The argyll robertson phenomenon in multiple sclerosis. The argyll robertson pupil request pdf researchgate.
Attempts to localize the anatomic lesion in cases of the argyll robertson pupil were recently concentrated on the posterior commissure, a system of fibers that cross the midline dorsal to the sylvian aqueduct in the most cranial part of the mesencephalon. A pseudoargyll robertson pupil is a neurological sign indicating a normal near reflex but the absence of a light reflex lightnear dissociation, a lack of miosis, and pupil irregularity. Argyll robertson pupils in alcoholism archives of neurology. Example of patient with argyll robertson pupil with neurosyphilis. The argyll robertson pupil american journal of ophthalmology. Apr 07, 20 a pupil that does not respond to light and reacts slowly to drugs that induce pupil contraction, but responds to accommodation within the normal range. Argyll robertson pupil was most prevalent before the widespread availability of penicillin in the 1940s, as it is commonly associated with syphilis and only develops after long term infection which remains untreated. Argyll robertson pupils were named after douglas argyll robertson 18371909, a scottish ophthalmologist and surgeon who described the condition in the mid1860s in the context of neurosyphilis.