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Adie's Pupil
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Commonly the patient is asymptomatic with anisocoria being noticed by a friend or relative. The cause of this benign condition is unknown, but the lesion is probably in the ciliary ganglion and post-ganglionic parasympathetic denervation is a feature. In the initial stages the affected pupil is dilated, reacts poorly to light, but retains a slow tonic near response (light-near dissociation). Over a period of months and years the mydriasis diminishes and the abnormal pupil eventually becomes smaller (miotic) than the normal side.

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Core Principles

1. Ocular Anatomy

2. Ophthalmic History

3. Measuring Visual Acuity

4. External Inspection / Eyelids

5. Everting The Eyelids

6. Anterior Segment

7. Pupillary Reflexes (and Dilatation)

8. Ocular Motility

9. Visual Fields

10. Direct Ophthalmoscopy

Ophthalmology in Practice

1. Red Eye Introduction

2. Red Eye Diagnosis

3. Visual Failure Introduction

4. Gradual Loss of Vision

5. Sudden Loss of Vision

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