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Argyll Robertson PupilAka: Syphilitic Pupil

Causes
1. Tertiary Syphilis (Tabes dorsalis, Taboparesis)
Mnemonic: Prostitute's Pupil
1. Accommodates, but does not react
Signs
1. Pupil constriction on accommodation
  1. Normal or exaggerated
2. Pupillary light reaction sluggish
  1. Weak or absent constriction to light
  2. Constriction not improved after dark adaptation
  3. Fails to dilate after painful stimulation elsewhere
3. Unequal pupils
4. Irregular pupils
5. Pupil constriction (Miosis)

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.