Argyll Robertson: Better Be His Pupil, Than Have It!

ResearchBlogging.orgArgyll Robertson pupils (“AR pupils”) are bilateral small pupils that constrict when the patient focuses on a near object (they “accommodate”), but do not constrict when exposed to bright light (they do not “react” to light). This condition is colloquially referred to as the “Whore’s Eye” because of the association with tertiary syphilis and because of the convenient mnemonic that, like a prostitute, they “accommodate but do not react” also because the pupils are “small and irregular.” They are a highly specific sign of neurosyphilis. In general, pupils that “accommodate but do not react” are said to show light-near dissociation. (Wikipedia)

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