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Argyll Robertson pupil

Authoring team

The Argyll Robertson pupil is usually bilateral and characterised by:

  • small, irregular pupils
  • the size of the pupils may be unequal
  • absence of the light reflex
  • a prompt accomodation reflex
  • pupils slowly dilate with mydriatics

The most common cause of this condition is syphilis. If the aetiology is syphilitic then the pupils are generally unequal and irregular. Also there is atrophy and depigmentation. The ciliospinal reflex is lost.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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