NEURO-OPHTHALMOLOGICAL AND PUPILLARY SYNDROMES IN OPHTHALMOLOGY PRACTICE
Abstract:
The article discusses various neuro-ophthalmological syndromes including pupillary abnormalities identified in ambulatory setting and that are often difficult to interpret. Pupillary abnormalities are uncommon. Some of these abnormalities are discovered incidentally, for example the tonic pupil (Holmes-Adie syndrome). Documentation of changes is important, not necessarily for the assessment of patient dissatisfaction, but to prevent misinterpretation of the problem in the future. Regarding the patient in critical condition, recognition of cerebral herniation syndrome, particularly uncal and transtentorial herniation is decisive. Pupillary abnormalities within the efferent system of the neuro-ophthalmological clinical syndromes are caused by parasympathetic, sympathetic lesions, physiological conditions, congenital anomalies, others.
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