Currie J, Lessell S
Br J Ophthalmol. 1984 Feb;68(2):135-8. doi: 10.1136/bjo.68.2.135.
A patient with giant cell arteritis and ischaemic optic neuropathy developed bilateral tonic pupils. This pupillary abnormality may result from ischaemia of the ciliary ganglia. Despite the propensity for patients with giant cell arteritis to develop vascular occlusions in the eye and orbit, tonic pupils have rarely been described, and several reasons for this are proposed. The arteries supplying the ciliary ganglia are frequently involved in giant cell arteritis, but their anastomotic pattern may confer protection from ischaemia. Tonic pupils may also be overlooked amidst the more dramatic manifestations of giant cell arteritis.
一名患有巨细胞动脉炎和缺血性视神经病变的患者出现了双侧强直性瞳孔。这种瞳孔异常可能是由于睫状神经节缺血所致。尽管巨细胞动脉炎患者有在眼和眼眶发生血管闭塞的倾向,但强直性瞳孔很少被描述,对此提出了几个原因。供应睫状神经节的动脉经常受累于巨细胞动脉炎,但其吻合模式可能提供缺血保护。在巨细胞动脉炎更显著的表现中,强直性瞳孔也可能被忽视。