Tonic pupils

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tonic pupils. Holmes-Adie syndrome, Ross syndrome, Iridocorneal endothelial (ICE) syndrome: cat’s eyes syndrome. Fully referenced neurology checklist.

Ophthalmic causes

  • Holmes-Adie syndrome
  • Ross syndrome
  • Iridocorneal endothelial (ICE) syndrome: cat’s eyes syndrome
  • Argyll-Robertson pupil
  • Oculomotor nerve palsy
  • Congenital mydriasis
  • Retinal laser treatment

Neurological causes

Locked: subscribe to see this section.

Autoimmune causes

Locked: subscribe to see this section.

Infectious causes

Locked: subscribe to see this section.

Other causes

Locked: subscribe to see this section.

Synonym

Locked: subscribe to see this section.

References

  1. Xu SY, Song MM, Li L, Li CX. Adie's pupil: a diagnostic challenge for the physician. Med Sci Monit 2022; 28:e934657.
  2. Drummond PD, Edis RH. Loss of facial sweating and flushing in Holmes-Adie syndrome. Neurology 1990; 40:847-849.
  3. Agarwala MK, George L, Parmar H, Mathew V. Ross syndrome: a case report and review of cases from India. Indian J Dermatol 2016; 61:348. 
  4. Kalapesi FB, Krishnan AV, Kiernan MC. Segmental facial anhidrosis and tonic pupils with preserved deep tendon reflexes: a novel autonomic neuropathy. J Neuroophthalmol 2005; 25:5-8. 
  5. Egan RA, Avruskin C. Unusual presentation of an Adie-like pupil: Cat's eye pupil. Neurology 2018; 91:715-716. 
  6. And 37 more. Subscribe to see the full list

Related checklists

Loading...