Tonic pupils from giant cell arteritis

Decreased blood flow in the ophthalmic artery, central retinal artery, and short posterior ciliary arteries may be detected on orbital colour Doppler imaging in patients with GCA. 9 Markedly reduced blood flow was found with orbital colour Doppler imaging in both orbits in our patient, despite her v...

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Bibliographic Details
Published in:British journal of ophthalmology 2003-04, Vol.87 (4), p.510-512
Main Authors: Foroozan, R, Buono, L M, Savino, P J, Sergott, R C
Format: Article
Language:English
Subjects:
Automation
Biopsy
Female
Fluorescein Angiography - methods
giant cell arteritis
Giant Cell Arteritis - complications
Giant Cell Arteritis - diagnostic imaging
Humans
Letter
Light
Macula Lutea - blood supply
Macular degeneration
Middle Aged
Optic Disk - blood supply
orbital colour Doppler imaging
Orbits
Patients
Retinal Vessels - diagnostic imaging
Tonic Pupil - diagnostic imaging
Tonic Pupil - etiology
tonic pupils
Ultrasonography
Veins & arteries
Vision Disorders - diagnostic imaging
Vision Disorders - etiology
Visual Acuity
Citations: Items that cite this one
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Description
Summary:Decreased blood flow in the ophthalmic artery, central retinal artery, and short posterior ciliary arteries may be detected on orbital colour Doppler imaging in patients with GCA. 9 Markedly reduced blood flow was found with orbital colour Doppler imaging in both orbits in our patient, despite her visual loss being unilateral. Iris ischaemia would result in poorly reactive pupils to both light and accommodation, without a tonic near reaction or denervation hypersensitivity. [...]the findings in our patient strongly suggest that the tonic pupils resulted from ischaemic damage to the ciliary ganglion or the postganglionic ciliary nerves which are responsible for pupillary constriction.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.87.4.510