Purcell J J, Krachmer J H, Thompson H S
Am J Ophthalmol. 1977 Oct;84(4):496-500. doi: 10.1016/0002-9394(77)90440-8.
Using the Cochet-Bonnet esthesiometer, we evaluated the corneal sensation of 11 patients with unilateral Adie's tonic pupil. We eliminated six other patients with bilateral Adie's pupil or disease that lowered corneal sensation. An observed unfamiliar with each patient's condition tested 12 clock hour positions in the midperiphery in both eyes of all patients. We studied 30 normal subjects (60 eyes) in a similar fashion. Of those 11 patients with unilateral Adie's syndrome, ten had a regional decrease in corneal sensation. The 30 normal subjects examined did not exhibit any significant decrease in corneal sensation in any areas. Our study supports the concept that the lesion of Adie's tonic pupil is in the ciliary ganglion or short location where the innervation of the iris sphincter and corneal sensation are found together.
我们使用科谢-博内眼压计评估了11例单侧阿-罗氏强直性瞳孔患者的角膜感觉。我们排除了另外6例双侧阿-罗氏瞳孔患者或角膜感觉降低的疾病患者。一位不了解每位患者病情的观察者对所有患者双眼的中周边12个钟点位置进行了测试。我们以类似方式研究了30名正常受试者（60只眼）。在这11例单侧阿-罗氏综合征患者中，10例角膜感觉有局部减退。所检查的30名正常受试者在任何区域均未出现角膜感觉的显著减退。我们的研究支持这样一种观点，即阿-罗氏强直性瞳孔的病变位于睫状神经节或较短的部位，在该部位虹膜括约肌的神经支配和角膜感觉共同存在。
