Adie Syndrome: Tonic Pupil Disorder
24 Questions
3 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary goal when faced with a picture of anisocoria, tonic pupil, or light-near dissociation?

  • To educate the patient about the benign nature of the condition
  • To prescribe medicated drops for symptomatic relief
  • To immediately start treatment for the condition
  • To rule out other potentially more serious diagnoses (correct)

Why is it valuable to obtain syphilis serologies and check for history of diabetes, trauma, neurologic diseases?

  • To confirm the diagnosis of Adie tonic pupil
  • To monitor the progression of the condition
  • To educate the patient about the condition
  • To rule out other potentially more serious diagnoses (correct)

What is the general prognosis for patients with Adie tonic pupil?

  • Patients require extensive surgical intervention
  • Patients typically experience severe vision loss
  • The condition is benign and patients generally only require reassurance (correct)
  • Patients typically experience permanent photophobia

What may be used for symptomatic relief in cases with severe photophobia?

<p>Dilute topical pilocarpine or physostigmine (D)</p> Signup and view all the answers

What may be a side effect of using dilute topical pilocarpine or physostigmine?

<p>Precipitation of ciliary spasm, brow ache, worsening of anisocoria, or induction of nearsightedness (A)</p> Signup and view all the answers

What may be used to correct for vision in patients with persistent accommodative paresis?

<p>Frosted bifocal segments (A)</p> Signup and view all the answers

What is the ICD-10 code for a bilateral Adie tonic pupil?

<p>H57.053 (C)</p> Signup and view all the answers

What is the average age of onset for Adie tonic pupil?

<p>32 years (D)</p> Signup and view all the answers

What is the female to male ratio for Adie tonic pupil?

<p>2.6:1 (D)</p> Signup and view all the answers

What is the prevalence of Adie tonic pupil per 1000 population?

<p>2 per 1000 (B)</p> Signup and view all the answers

What is the name of the syndrome that includes Adie tonic pupil and decreased deep tendon reflexes?

<p>Holmes-Adie Syndrome (B)</p> Signup and view all the answers

What is the result of damage to the parasympathetic ciliary ganglion?

<p>A tonic pupil (B)</p> Signup and view all the answers

What is the process that occurs after damage to the ciliary ganglion?

<p>Denervation supersensitivity (A)</p> Signup and view all the answers

What is the ratio of axons supplying the ciliary body compared to those for the iris?

<p>30:1 (A)</p> Signup and view all the answers

What is the result of aberrant regeneration in the reinnervation process of the pupil?

<p>Fibers intended for the ciliary body end up targeted to the pupil (B)</p> Signup and view all the answers

What is the tonic reaction in the pupil due to?

<p>Supersensitivity to acetylcholine (A)</p> Signup and view all the answers

What percentage of cases of Adie tonic pupil are bilateral?

<p>4% (C)</p> Signup and view all the answers

What is a common symptom of Adie tonic pupil?

<p>Photophobia (A)</p> Signup and view all the answers

What is the purpose of the dilute pilocarpine test in diagnosing Adie tonic pupil?

<p>To demonstrate hypersensitivity to acetylcholine (B)</p> Signup and view all the answers

What is a characteristic of the affected pupil in Adie tonic pupil during the chronic stage?

<p>It becomes smaller over time (C)</p> Signup and view all the answers

What is a common cause of Adie tonic pupil?

<p>All of the above (D)</p> Signup and view all the answers

What is a characteristic of the pupillary reaction to accommodation in Adie tonic pupil?

<p>It is stronger than the normal eye (B)</p> Signup and view all the answers

What is the typical presentation of patients with Adie tonic pupil?

<p>Incidental finding of anisocoria (D)</p> Signup and view all the answers

What is the result of the aberrant reinnervation process on the pupil?

<p>Light-Near dissociation of the pupil (B)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser