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Case Details

Argyll Robertson pupil

  • Author: Dr. Hasan Altarrah
  • Published Date: 10/05/2026
  • Last Modified Date:
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  • Category :Internal Medicine
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Additional Information:

  • Small: irregular pupil accommodates but does not react to light

Description

Argyll Robertson Pupil
  • Small irregular pupil that accommodates but does not react to light
Other Area to Examine
  • Sensory ataxia
What Will You Do?
  • Do TPHA or FTA
Management
  • Penicillin
Differential Diagnosis of Small Pupil
  • Horner’s syndrome
  • Intracranial hemorrhage (pons)
  • Drugs like opioids and pilocarpine
  • Organophosphates
Tell Me What Next You Will Do
  • CT brain +/- MRI brain

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