Cox T A, Goldberg R A, Rootman J
Department of Ophthalmology, University of British Columbia, Vancouver, Canada.
J Clin Neuroophthalmol. 1991 Mar;11(1):55-6; discussion 57.
A 71-year-old woman developed abnormal pupillary function in one eye after a third nerve palsy. Stimulation with light caused segmental constriction of the pupil, the near reflex was normal, and gaze upward elicited constriction of portions of the sphincter that were unreactive to light. This combination of findings has not been reported previously. We believe that this case supports the idea that a tonic pupil can be caused by aberrant reinnervation of the ciliary ganglion.
一名71岁女性在发生动眼神经麻痹后，一只眼睛出现瞳孔功能异常。光刺激导致瞳孔节段性收缩，近反射正常，向上注视时引起对光无反应的部分瞳孔括约肌收缩。这种检查结果的组合此前未见报道。我们认为该病例支持强直性瞳孔可由睫状神经节异常再支配引起这一观点。
