Article Text
PDF
Abstract
A young woman presented with blurred vision due to anticholinergic syndrome. We highlight the importance of considering this condition in the context of multiple medications and increased anticholinergic burden. The documented pupil abnormality gives an opportunity to review the syndrome of the reverse (inverse) Argyll Robertson pupil (preserved pupil light response with loss of accommodation). We review other situations in which the reverse Argyll Robertson pupil may occur and its possible mechanism in this case.
- pupils
- neuroophthalmology
Data availability statement
No data are available.
Statistics from Altmetric.com
Data availability statement
No data are available.
Footnotes
Contributors LM and SHW are the clinicians involved in the care. LM wrote the first draft of the manuscript, reviewed and edited by SHW, substantial intellectual guidance and edits from GTP, figure 1 by GTP.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned. Externally peer reviewed by Christian Lueck, Canberra, Australia.
Read the full text or download the PDF:
Other content recommended for you
- Neuro-ophthalmology
- Pseudo-Argyll Robertson pupil of patients with spinocerebellar ataxia type 1 (SCA1)
- Dorsal midbrain (Parinaud) syndrome
- Pupil findings in a consecutive series of 150 patients with generalised autonomic neuropathy
- Bilateral tonic pupils: Holmes–Adie syndrome or generalised neuropathy?
- Accidental overdose in the deep shade of night: a warning on the assumed safety of ‘natural substances’
- Postural orthostatic tachycardia syndrome in primary care: diagnosis, treatment and a case of African-American man presenting with POTS
- Midbrain encephalitis associated with neoplasia
- Eye drop neurology
- Neuro-ophthalmological syndromes for neurologists