탈신경 과민반응 발현 이전의 에이디 긴장성 동공 1예

• 영문명: A Case of Adie’s Tonic Pupil before Presentation of Denervation Hypersensitivity
• 발행기관: 대한안과학회
• 저자명: 이규성 최현준 김혜영,Kyu Sung Lee, M.D., Hyun Jun Choi, M.D., Hye Young Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number12, 2032~2036쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.12.15

영문 초록

Purpose: Denervation supersensitivity to 0.125% pilocarpine is an important factor in making a diagnosis of Adie’s tonic pupil. However, it generally takes several weeks for denervation supersensitivity to manifest after an injury to the nerve ganglion. We report a case of ‘acute’ Adie’s tonic pupil before the manifestation of denervation supersensitivity. Case summary: A 53-year-old man with no significant past medical history visited our clinic, reporting mydriasis of his left eye. Pupil size was 8 mm in the right eye, 3 mm in the left. Loss of both direct/indirect light reflex and light-near reflex were observed. The left pupil did not react to 0.125% Pilocarpine, but constricted in response to 1% pilocarpine. After 5 months, the pupil size did not change, but the pupil constricted in response to 0.125% pilocarpine. Conclusions: In an isolated case of dilated pupil, though the pupil did not react to 0.125% pilocarpine, with respect to the Adie’s tonic pupil, to check the manifestation of denervation supersensitivity should be needed at regular intervals.

키워드

Denervation hypersensitivity, Tonic pupil