Argyll Robertson pupil
Small irregular pupil accommodates but does not react to light
Other Area to examine?
• Sensory ataxia
Tell me, What will you do ?
Do TPHA or FTA
Management :
Penicillin
Differential diagnosis of small pupil:
• Horner’s syndrome
• Intracranial hemorrhage ( pons )
• Drugs like opioids , pilocarpine
• Organophosphates
Tell me what next you will do ?
Ct brain +/- MRI brain
