2020 Volume 37 Issue 2 Pages 171-175
A 36-year-old woman complained of deformation of her right pupil to a“teardrop shape.”She was diagnosed with anisocoria (R＞L) at an eye clinic and referred to our hospital. She presented with right mydriasis and anisocoria in the light room. The right pupil revealed hypersensitivity to 0.125％ pilocarpine, and she was diagnosed with Adie syndrome in the right eye. During the follow-up, both eyes showed hypersensitivity to 0.125％ pilocarpine, and she was diagnosed with bilateral Adie syndrome. The tadpole-shaped pupil was not observed at the first visit. The diagnosis of tadpole pupil was confirmed with self-acquired photographs from a smartphone, which were useful in diagnosing episodic deformation of the pupil. The tadpole-shaped pupil might have occurred after the early onset of Adie syndrome and before the pupillary sphincter completely palsied.
