에이디 긴장성 동공의 임상양상

• 영문명: Clinical Features of Adie’s Tonic Pupil: A Retrospective and Cross-Sectional Study
• 발행기관: 대한안과학회
• 저자명: 이혜진 이진영 엄태웅 임현택 안효숙,Hye Jin Lee, MD, Jin Young Lee, MD, Tae Woong Um, MD, Hyun Taek Lim, MD, PhD,Hyo Sook Ahn, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number5, 777~783쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2013.05.15

영문 초록

Purpose: To report the clinical features of Adie’s tonic pupil. Methods: The medical records of 22 patients who had been diagnosed with Adie’s tonic pupil from February 1998 to February 2009, were retrospectively reviewed. On March 2010, a cross-sectional examination was performed in 16 patients (19 eyes) who underwent a follow-up of more than 1 year. Measurements included pupil size in room light, bright light and in darkness; near point of accommodation; presence of segmental iris palsy; light-near dissociation; denervation supersensitivity; corneal sensitivity; and deep tendon reflex (DTR). Results: Among the patients studied, 16 were women in Adie’s tonic pupils. Only 3 of patients had bilateral involvement. The mean age of onset was 38.3 years. The mean size of Adie’s tonic pupils was 2.3 mm larger than the fellow eyes. Segmental iris palsy was detected in 93.8% of the patients. Denervation supersensitivity was observed in all patients. Light-near dissociation was present in 88.2% and over 90% of the patients had decreased DTR in the biceps, triceps, knee and ankle jerk. Conclusions: This cross-sectional study showed Adie’s tonic pupil tended to become miotic and recover accommodation power over the years.

키워드

Adie’s tonic pupil, Deep tendon reflex, Denervation supersensitivity, Light-near dissociation, Segmental iris palsy