Anisocoria Questions & Answers

Updated: Dec 27, 2018
  • Author: Eric R Eggenberger, DO, MS, FAAN; Chief Editor: Edsel B Ing, MD, MPH, FRCSC  more...
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Questions & Answers

Overview

What is anisocoria?

What is the pathophysiology of anisocoria?

How common is anisocoria in the US?

What are the mortality and morbidity of anisocoria?

Presentation

How is the patient history characterized in anisocoria?

What are the key aspects of the physical exam in anisocoria?

How is pupil reactivity graded in the assessment of anisocoria?

What is contraction anisocoria?

How do the associated features of anisocoria contribute to the diagnosis?

What causes anisocoria?

What is Horner syndrome, and how is it related to anisocoria?

How is the pathophysiology of anisocoria in Horner syndrome?

How is pharmacologic testing used in anisocoria and Horner syndrome?

What causes Horner syndrome?

How does oculomotor nerve palsy manifest in Horner syndrome?

How is a pharmacologic pupil characterized in the presentation of anisocoria?

How does mechanical damage to the iris contribute to anisocoria?

How are tonic pupils characterized in the presentation of anisocoria?

What is transient anisocoria?

DDX

What are the differential diagnoses for Anisocoria?

Workup

Which lab studies are indicated in the workup of anisocoria?

What is the role of imaging studies in the workup of anisocoria?

Treatment

What is the medical treatment for anisocoria?

What is the surgical treatment for anisocoria?

Which specialist consultations are indicated in the treatment of anisocoria?

Medications

Which agents are used in the diagnosis of anisocoria?

Which medications in the drug class Alpha2-adrenergic agonist agent, ophthalmic are used in the treatment of Anisocoria?

Which medications in the drug class Sympathomimetic agents are used in the treatment of Anisocoria?

Which medications in the drug class Cholinergic agents are used in the treatment of Anisocoria?

Which medications in the drug class Topical anesthetic agents are used in the treatment of Anisocoria?