Tonic pupil and sarcoidosis

Esther Bowie, Syndee J. Givre

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

PURPOSE: To present a case of tonic pupil associated with enhancement in the region of the ciliary ganglion on magnetic resonance imaging in a patient with sarcoidosis. DESIGN: Observational case report. METHODS: A 52-year-old woman with sarcoidosis had a right pupil exhibiting sectoral palsy to light and light-near dissociation. RESULTS: Topical administration of 0.1% pilocarpine demonstrated supersensitivity of the right pupillary sphincter muscle. Magnetic resonance imaging (MRI) with contrast revealed enhancement in the region of the right ciliary ganglion. CONCLUSIONS: Tonic pupil may be a manifestation of sarcoidosis, and in such cases, MRI may show enhancement at the level of the ciliary ganglion. Sarcoidosis should be included in the differential diagnosis of tonic pupil.

Original languageEnglish (US)
Pages (from-to)417-419
Number of pages3
JournalAmerican Journal of Ophthalmology
Volume135
Issue number3
DOIs
StatePublished - Mar 1 2003

Fingerprint

Tonic Pupil
Parasympathetic Ganglia
Sarcoidosis
Magnetic Resonance Imaging
Light
Topical Administration
Pilocarpine
Pupil
Paralysis
Differential Diagnosis
Muscles

All Science Journal Classification (ASJC) codes

  • Ophthalmology

Cite this

Bowie, Esther ; Givre, Syndee J. / Tonic pupil and sarcoidosis. In: American Journal of Ophthalmology. 2003 ; Vol. 135, No. 3. pp. 417-419.
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Tonic pupil and sarcoidosis. / Bowie, Esther; Givre, Syndee J.

In: American Journal of Ophthalmology, Vol. 135, No. 3, 01.03.2003, p. 417-419.

Research output: Contribution to journalArticle

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AB - PURPOSE: To present a case of tonic pupil associated with enhancement in the region of the ciliary ganglion on magnetic resonance imaging in a patient with sarcoidosis. DESIGN: Observational case report. METHODS: A 52-year-old woman with sarcoidosis had a right pupil exhibiting sectoral palsy to light and light-near dissociation. RESULTS: Topical administration of 0.1% pilocarpine demonstrated supersensitivity of the right pupillary sphincter muscle. Magnetic resonance imaging (MRI) with contrast revealed enhancement in the region of the right ciliary ganglion. CONCLUSIONS: Tonic pupil may be a manifestation of sarcoidosis, and in such cases, MRI may show enhancement at the level of the ciliary ganglion. Sarcoidosis should be included in the differential diagnosis of tonic pupil.

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