![]() ![]() ![]() The clinician will also look for symptoms associated with the potential underlying causes of AR pupils, such as a lack of coordination and sudden, severe pains in the face, back, and limbs. The examination will typically show a light-near dissociation, in which the pupil focuses quickly on a near object but doesn’t respond to bright light. How is the Argyll Robertson pupil diagnosed and treated?Ī clinician can diagnose the Argyll Robertson pupil through a thorough evaluation of symptoms, conduction of a physical exam, and discussion of past medical history. Typically, both of an individual’s eyes will have AR pupils, making the condition bilateral. Join millions of students and clinicians who learn by Osmosis! Start Your Free Trial Can the Argyll Robertson pupil be unilateral?Īn Argyll Roberston pupil is rarely unilateral, or affecting only one eye. Douglas Argyll Robertson, a Scottish ophthalmologist and surgeon. ![]() The Argyll Roberston pupil was first described in the mid-1860s by Dr. The presence of Argyll Roberton (AR) pupils is typically a highly specific sign of tertiary syphilis however, they can be caused by other underlying conditions, such as diabetes and multiple sclerosis. Specifically, Argyll Robertson pupils don’t constrict in response to light but do constrict to focus on a nearby object. The Argyll Robertson pupil occurs when a disease interferes with the light reflex pathway, thereby inhibiting the pupil’s natural response to bright light. Typically, the pupil constricts, or shrinks, in response to bright light and dilates, or expands, in response to dim light. The pupil is an opening in the center of the eye that allows light to enter the eye. Back Argyll Robertson Pupil What Is It, Causes, and MoreĮditor s : Alyssa Haag, Ian Mannarino, MD, MBAĬopyeditor : Joy Mapes What is the Argyll Robertson pupil? ![]()
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