- tonic pupil
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a pupil that is dilated as a result of damage to the nerves supplying the ciliary muscle and iris. It reacts poorly to light but contracts normally for near vision, with slow redilation of the pupil on refixation at a distance. The most common characteristic of the tonic pupil is its extreme sensitivity to dilute 0.1% pilocarpine drops, which cause marked constriction of a tonic pupil but has little effect on a normal pupil.
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a usually unilateral condition of the eye in which the affected pupil is larger than the other and has light-near dissociation, responding slowly to accommodation and convergence and reacting to light only after prolonged exposure to dark or light. Called also Adie p., myotonic p., and pupillotonia. See also Adie syndrome, under syndrome.
Medical dictionary. 2011.