Unequal pupils. A flow chart for sorting out the anisocorias

Surv Ophthalmol. Jul-Aug 1976;21(1):45-8. doi: 10.1016/0039-6257(76)90047-3.

Abstract

When anisocoria is present, the ophthalmologist knows that something is wrong. However, location of the lesion and diagnosis of the problem can be difficult. A step-by-step flow chart for diagnosis of unequal pupils is presented, with explantation of various signs and descriptions of appropriate diagnostic tests.

MeSH terms

  • Adie Syndrome / diagnosis
  • Cocaine
  • Constriction
  • Dark Adaptation
  • Diagnosis, Differential
  • Dilatation*
  • Eye Diseases / diagnosis*
  • Eye Diseases / physiopathology
  • Horner Syndrome / diagnosis
  • Humans
  • Iris / innervation
  • Methacholine Compounds
  • Pilocarpine
  • Pupil / physiology*
  • Reflex, Pupillary
  • p-Hydroxyamphetamine

Substances

  • Methacholine Compounds
  • Pilocarpine
  • p-Hydroxyamphetamine
  • Cocaine