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 argyll robertson described his pupillary syndrome in 1869. Ogilvie departments of ophthalmology and pathology, permanente medical group. Argyll robertson pupil refers to small bilateral pupils that are able to constrict when an individual tries focusing or viewing an object near him or her, but when the pupil is exposed to bright light, it does not constrict or respond to that light stimuli. The argyll robertson pupil request pdf researchgate. Argyll robertson pupil an overview sciencedirect topics.
The year 1869 signalled the clinical recog nition of two pathologic types of miosis, that of homers syndrome and the argyll rob ertson pupil. Helmut wilhelm, in handbook of clinical neurology, 2011. The argyll robertson pupil soon became a pathognomonic sign in tabes. I could not observe any contraction of either pupil under the influence of light, but. In 1869, argyll robertson, in an article1 entitled, four cases of spinal myosis, with remarks on the action of light on the pupils, described a peculiar pupil. 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. Argyllrobertson pupil key points in 60 seconds youtube. The argyll robertson pupil american journal of ophthalmology. A pseudo argyll 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. Request pdf the argyll robertson pupil the argyll robertson ar pupil has been defined as a pupil that is small and constricts poorly to.
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