Pupil Disorders
Tonic Pupil
Reflex, Pupillary
Bipolar Disorder
Mental Disorders
Tropicamide
Diagnostic and Statistical Manual of Mental Disorders
Comparing pupil function with visual function in patients with Leber's hereditary optic neuropathy. (1/82)
PURPOSE: To compare pupil function with visual function in patients with Leber's hereditary optic neuropathy (LHON) and age-matched normal control subjects. METHODS: Visual function was assessed by measuring the perceptual thresholds at five central locations in the visual field using automated static perimetry. Pupil function was assessed by recording the pupil responses to a standard intensity light stimulus (size equivalent to a Goldmann V target) presented at the same five locations in the visual field. The extent of the pupil afferent defect in LHON patients was quantified by establishing the relationship between stimulus intensity and the size of the pupil response in normal subjects and then interpolating the equivalent luminance deficit in LHON patients from the size of their pupil responses. RESULTS: At all five locations tested, the pupil responses were significantly reduced in amplitude, and the perceptual thresholds were significantly raised in LHON patients compared with normal control subjects. A nonparametric analysis of perceptual and pupil responses to perithreshold stimuli showed that a stimulus that was not perceived was three times more likely to be followed by a pupil response in a LHON patient than in a normal subject (P < 0.001). A quantitative comparison showed that the visual deficits exceeded the pupil deficits by on average 7.5 dB at all tested locations. CONCLUSIONS: Although both visual and pupil function are abnormal in LHON, there appears to be relative sparing of the pupil afferent fibers. (+info)Pupil abnormality in amyloidosis with autonomic neuropathy. (2/82)
Darkness pupil diameters, light reflexes, and redilatation times have been recorded with infrared TV pupillometry in 12 consecutive patients with systemic amyloidosis associated with sensory motor and autonomic neuropathy. Nine of the patients had AL amyloidosis, two had familial amyloidosis associated with a transthyretin abnormality, and one was untyped. The pupils were abnormal in all 12 patients. On the basis of redilatation lag without pupillotonia, six patients had bilateral Horner's syndrome and in one of them amyloid deposits were found in a sympathetic ganglion and in the attached sympathetic chain obtained at necropsy. Four patients had bilateral tonic pupils with light-near dissociation and two had abnormally small pupils with reduced light reactions which could not be characterised. It seems that in patients with systemic amyloidosis generalised autonomic neuropathy is strongly associated with pupil abnormality as shown by tonic reactions with light-near dissociation, by redilatation lag, or by reduced size in darkness. (+info)Orbital arteriovenous malformation mimicking cavernous sinus dural arteriovenous malformation. (3/82)
AIMS: Orbital arteriovenous malformations (OAVM) are rare, mostly described with high flow characteristics. Two cases are reported with an OAVM of distinct haemodynamic abnormality. The clinical, angiographic features, and the management considerations are discussed. METHODS: Case review of two patients with dural AVM (DAVM) who presented to referral neuro-ophthalmology and endovascular services because of clinical symptoms and signs consistent with a cavernous sinus dural AVM. RESULTS: In each patient, superselective angiography revealed a small slow flow intraorbital shunt supplied by the ophthalmic artery. The transarterial and transvenous endovascular approaches to treat the malformation were partially successful. Although, the abnormal flow was reduced, complete closure of the DAVM could not be accomplished without significant risk of iatrogenic injury. Neither patient's vision improved after intervention. CONCLUSION: A DAVM in the orbit can cause similar clinical symptoms and signs to those associated with a cavernous sinus DAVM. Even with high resolution magnetic resonance imaging, only superselective angiography can identify this small intraorbital slow flow shunt. The location in the orbital apex and the small size precludes a surgical option for treatment. The transarterial and transvenous embolisation options are limited. (+info)Multiple functional defects in peripheral autonomic organs in mice lacking muscarinic acetylcholine receptor gene for the M3 subtype. (4/82)
Muscarinic acetylcholine receptors consist of five distinct subtypes and have been important targets for drug development. In the periphery, muscarinic acetylcholine receptors mediate cholinergic signals to autonomic organs, but specific physiological functions of each subtype remain poorly elucidated. Here, we have constructed and analyzed mutant mice lacking the M(3) receptor and have demonstrated that this subtype plays key roles in salivary secretion, pupillary constriction, and bladder detrusor contractions. However, M(3)-mediated signals in digestive and reproductive organs are dispensable, likely because of redundant mechanisms through other muscarinic acetylcholine receptor subtypes or other mediators. In addition, we have found prominent urinary retention only in the male, which indicates a considerable sex difference in the micturition mechanism. Accordingly, this mutant mouse should provide a useful animal model for investigation of human diseases that are affected in the peripheral cholinergic functions. (+info)Fixed and dilated pupils after trauma, stroke, and previous intracranial surgery: management and outcome. (5/82)
OBJECTIVES: To clarify whether different causative events (trauma, stroke, intracranial surgery), time of intervention, and treatment mode influence outcome, patients with fixed and dilated pupils (FDPs) in a prospective neurosurgical series were evaluated. METHODS: Ninety nine consecutive patients who presented with or developed one or two FDPs, were split into three groups according to the respective aetiology: 46 patients had a trauma, 41 patients a stroke (subarachnoid or intracerebral haemorrhage), and 12 patients had undergone previous elective intracranial surgery. Appropriate therapy was performed depending on the CT findings. Outcome was classified according to the Glasgow outcome scale (GOS). RESULTS: Overall mortality was 75%. In 15% outcome was unfavourable (GOS 2 and 3), and in 10% favourable (GOS 4, 5) at 24 month follow up. No differences in outcome were found between trauma, stroke, and postelective surgery groups. Unilaterally FDP was associated with a better chance of survival (46% v 13%; p<0.01). Age did not correlate with survival, but younger survivors had a significantly better outcome. Patients in whom an intracranial mass was removed surgically had a 42% survival rate, compared with 8% with conservative treatment (p<0.01). Patients with a shorter delay from FDPs to intervention had a better chance of recovery after trauma and previous intracranial surgery (p<0.05). No patient survived better than a vegetative state, if previous FDPs did not become reactive shortly after therapy. If both pupils became reactive on therapy, the chance of survival was 62%. Of these survivors 42% had a favourable outcome. CONCLUSION: Bilateral restoration of pupillary reactivity shortly after therapy is crucial for survival. Surgical evacuation of an intracranial mass, unilateral FDPs, early intervention, and younger age are related to better chances of survival or recovery. The prognosis of patients with FDPs after trauma, stroke, and previous elective intracranial surgery is similar. (+info)Involvement of the peripheral nervous system in primary Sjogren's syndrome. (6/82)
BACKGROUND: Involvement of the peripheral nervous system in patients with primary Sjogren's syndrome (SS) has been reported, but its prevalence in neurologically asymptomatic patients is not well known. OBJECTIVE: To assess clinical and neurophysiological features of the peripheral nervous system in patients with primary SS. PATIENTS AND METHODS: 39 (38 female) consecutive patients with primary SS, aged 20-81 years (mean 50), with a disease duration of 1-30 years (mean 8) were studied. The peripheral nervous system was evaluated by a questionnaire, physical examination, quantified sensory neurological examination, and neurophysiological measurements (nerve conduction studies). To assess autonomic cardiovascular function an orthostatic challenge test, a Valsalva manoeuvre, a forced respiration test, and pupillography were done. RESULTS: Abnormalities as indicated in the questionnaire were found in 8/39 (21%) patients, while an abnormal neurological examination was found in 7/39 (18%) patients. Abnormalities in quantified sensory neurological examination were found in 22/38 (58%) patients. In 9/39 (23%) patients, neurophysiological signs compatible with a sensory polyneuropathy were found. No differences were found in the autonomic test results, disease duration, serological parameters, or erythrocyte sedimentation rate between the patients with primary SS with and those without evidence of peripheral nervous involvement. CONCLUSION: Subclinical abnormalities of the peripheral nervous system may occur in patients with primary SS selected from a department of rheumatology, but clinically relevant involvement of the peripheral nervous system in this patient group is rare. (+info)Pupillary autonomic denervation with increasing duration of diabetes mellitus. (7/82)
BACKGROUND/AIMS: The autonomic pupillary changes in type I and II diabetic patients without clinical evidence of diabetic autonomic neuropathy (DAN) were compared with age matched controls. The relation between pupillary and cardiovascular autonomic function was assessed in the diabetic patients. METHODS: A case-control study was performed with diabetics grouped according to type and duration of diabetes. Static infrared pupillography was used to compare mean dark adapted pupil size and mean percentage changes in pupil size with pilocarpine 0.1% and cocaine 4% in the diabetic and control groups. All diabetic patients underwent cardiovascular autonomic function assessment using the Valsalva ratio, the 30:15 ratio, and testing for orthostatic hypotension. RESULTS: In total, 72 type I and 69 type II diabetic patients were compared with 120 controls. Mean dark adapted pupil size was significantly smaller in diabetic groups than controls. Except for type I diabetics with disease for less than 5 years, all patient groups had significantly greater mean percentage constriction in pupil size in response to dilute pilocarpine than controls. There was no significant difference between the mean percentage dilatation in response to cocaine 4% in diabetics and controls. A high proportion of patients had normal cardiovascular autonomic function particularly when this was assessed with the Valsalva ratio. CONCLUSIONS: Denervation hypersensitivity to dilute pilocarpine is a result of damage to the pupillary parasympathetic supply of diabetic patients. This occurs before the pupillary sympathetic pathway is affected, it can be detected early in the disease, and it may be a possible explanation for the small pupil size seen in diabetic patients. Pupillary autonomic dysfunction occurs before cardiovascular autonomic changes and detection of pupil denervation hypersensitivity to dilute pilocarpine is an inexpensive way to detect early DAN. (+info)Fibrous congenital iris membranes with pupillary distortion. (8/82)
BACKGROUND: In 1986 Cibis and associates described 2 children with a new type of congenital pupillary-iris-lens membrane with goniodysgenesis that was unilateral, sporadic, and progressive. These membranes were different from the common congenital pupillary strands that extend from 1 portion of the iris collarette to another or from the iris collarette to a focal opacity on the anterior lens surface. They also differed from the stationary congenital hypertrophic pupillary membranes that partially occlude the pupil, originating from multiple sites on the iris collarette, but not attaching directly to the lens. CASE MATERIAL: The present report is an account of 7 additional infants with congenital iris membranes, similar to those reported by Cibis and associates, which caused pupillary distortion and were variably associated with adhesions to the lens, goniodysgenesis, and progressive occlusion or seclusion of the pupil. Six of the 7 patients required surgery to open their pupils for visual purposes or to abort angle closure glaucoma. A remarkable finding was that the lenses in the area of the newly created pupils were clear, allowing an unobstructed view of normal fundi. CONCLUSION: This type of fibrous congenital iris membrane is important to recognize because of its impact on vision and its tendency to progress toward pupillary occlusion. Timely surgical intervention can abort this progressive course and allow vision to be preserved. (+info)A pupil disorder refers to any abnormality or condition affecting the size, shape, or reactivity of the pupils, the circular black openings in the center of the eyes through which light enters. The pupil's primary function is to regulate the amount of light that reaches the retina, adjusting its size accordingly.
There are several types of pupil disorders, including:
1. Anisocoria: A condition characterized by unequal pupil sizes in either one or both eyes. This may be caused by various factors, such as nerve damage, trauma, inflammation, or medication side effects.
2. Horner's syndrome: A neurological disorder affecting the autonomic nervous system, resulting in a smaller pupil (miosis), partial eyelid droop (ptosis), and decreased sweating (anhidrosis) on the same side of the face. It is caused by damage to the sympathetic nerve pathway.
3. Adie's tonic pupil: A condition characterized by a dilated, poorly reactive pupil due to damage to the ciliary ganglion or short ciliary nerves. This disorder usually affects one eye and may be associated with decreased deep tendon reflexes in the affected limbs.
4. Argyll Robertson pupil: A condition where the pupils are small, irregularly shaped, and do not react to light but constrict when focusing on nearby objects (accommodation). This disorder is often associated with neurosyphilis or other brainstem disorders.
5. Pupillary dilation: Abnormally dilated pupils can be a sign of various conditions, such as drug use (e.g., atropine, cocaine), brainstem injury, Adie's tonic pupil, or oculomotor nerve palsy.
6. Pupillary constriction: Abnormally constricted pupils can be a sign of various conditions, such as Horner's syndrome, Argyll Robertson pupil, drug use (e.g., opioids, pilocarpine), or oculomotor nerve palsy.
7. Light-near dissociation: A condition where the pupils do not react to light but constrict when focusing on nearby objects. This can be seen in Argyll Robertson pupil and Adie's tonic pupil.
Prompt evaluation by an ophthalmologist or neurologist is necessary for accurate diagnosis and management of these conditions.
A pupil, in medical terms, refers to the circular opening in the center of the iris (the colored part of the eye) that allows light to enter and reach the retina. The size of the pupil can change involuntarily in response to light intensity and emotional state, as well as voluntarily through certain eye exercises or with the use of eye drops. Pupillary reactions are important in clinical examinations as they can provide valuable information about the nervous system's functioning, particularly the brainstem and cranial nerves II and III.
A tonic pupil, also known as a "Adie's pupil," is a type of abnormal pupillary response named after Sir William John Adie, who first described it in 1932. It is characterized by an initial sluggish or absent reaction to light, followed by a slow and sustained redilation. This condition typically occurs as a result of damage to the ciliary ganglion or short ciliary nerves, which are part of the parasympathetic nervous system.
Tonic pupils can be unilateral (occurring in one eye) or bilateral (occurring in both eyes). They may be associated with other neurological symptoms such as decreased deep tendon reflexes and abnormal sweating patterns, depending on the extent of the damage to the autonomic nervous system.
It is important to note that tonic pupils can also occur as a result of various medical conditions, including viral infections, neurotoxins, trauma, or tumors. Therefore, it is essential to consult with a healthcare professional for proper evaluation and management.
A pupillary reflex is a type of reflex that involves the constriction or dilation of the pupils in response to changes in light or near vision. It is mediated by the optic and oculomotor nerves. The pupillary reflex helps regulate the amount of light that enters the eye, improving visual acuity and protecting the retina from excessive light exposure.
In a clinical setting, the pupillary reflex is often assessed as part of a neurological examination. A normal pupillary reflex consists of both direct and consensual responses. The direct response occurs when light is shone into one eye and the pupil of that same eye constricts. The consensual response occurs when light is shone into one eye, causing the pupil of the other eye to also constrict.
Abnormalities in the pupillary reflex can indicate various neurological conditions, such as brainstem injuries or diseases affecting the optic or oculomotor nerves.
Bipolar disorder, also known as manic-depressive illness, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (a less severe form of mania), you may feel euphoric, full of energy, or unusually irritable. These mood swings can significantly affect your job, school, relationships, and overall quality of life.
Bipolar disorder is typically characterized by the presence of one or more manic or hypomanic episodes, often accompanied by depressive episodes. The episodes may be separated by periods of normal mood, but in some cases, a person may experience rapid cycling between mania and depression.
There are several types of bipolar disorder, including:
* Bipolar I Disorder: This type is characterized by the occurrence of at least one manic episode, which may be preceded or followed by hypomanic or major depressive episodes.
* Bipolar II Disorder: This type involves the presence of at least one major depressive episode and at least one hypomanic episode, but no manic episodes.
* Cyclothymic Disorder: This type is characterized by numerous periods of hypomania and depression that are not severe enough to meet the criteria for a full manic or depressive episode.
* Other Specified and Unspecified Bipolar and Related Disorders: These categories include bipolar disorders that do not fit the criteria for any of the other types.
The exact cause of bipolar disorder is unknown, but it appears to be related to a combination of genetic, environmental, and neurochemical factors. Treatment typically involves a combination of medication, psychotherapy, and lifestyle changes to help manage symptoms and prevent relapses.
A mental disorder is a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. It's associated with distress and/or impaired functioning in social, occupational, or other important areas of life, often leading to a decrease in quality of life. These disorders are typically persistent and can be severe and disabling. They may be related to factors such as genetics, early childhood experiences, or trauma. Examples include depression, anxiety disorders, bipolar disorder, schizophrenia, and personality disorders. It's important to note that a diagnosis should be made by a qualified mental health professional.
Anxiety disorders are a category of mental health disorders characterized by feelings of excessive and persistent worry, fear, or anxiety that interfere with daily activities. They include several different types of disorders, such as:
1. Generalized Anxiety Disorder (GAD): This is characterized by chronic and exaggerated worry and tension, even when there is little or nothing to provoke it.
2. Panic Disorder: This is characterized by recurring unexpected panic attacks and fear of experiencing more panic attacks.
3. Social Anxiety Disorder (SAD): Also known as social phobia, this is characterized by excessive fear, anxiety, or avoidance of social situations due to feelings of embarrassment, self-consciousness, and concern about being judged or viewed negatively by others.
4. Phobias: These are intense, irrational fears of certain objects, places, or situations. When a person with a phobia encounters the object or situation they fear, they may experience panic attacks or other severe anxiety responses.
5. Agoraphobia: This is a fear of being in places where it may be difficult to escape or get help if one has a panic attack or other embarrassing or incapacitating symptoms.
6. Separation Anxiety Disorder (SAD): This is characterized by excessive anxiety about separation from home or from people to whom the individual has a strong emotional attachment (such as a parent, sibling, or partner).
7. Selective Mutism: This is a disorder where a child becomes mute in certain situations, such as at school, but can speak normally at home or with close family members.
These disorders are treatable with a combination of medication and psychotherapy (cognitive-behavioral therapy, exposure therapy). It's important to seek professional help if you suspect that you or someone you know may have an anxiety disorder.
Mood disorders are a category of mental health disorders characterized by significant and persistent changes in mood, affect, and emotional state. These disorders can cause disturbances in normal functioning and significantly impair an individual's ability to carry out their daily activities. The two primary types of mood disorders are depressive disorders (such as major depressive disorder or persistent depressive disorder) and bipolar disorders (which include bipolar I disorder, bipolar II disorder, and cyclothymic disorder).
Depressive disorders involve prolonged periods of low mood, sadness, hopelessness, and a lack of interest in activities. Individuals with these disorders may also experience changes in sleep patterns, appetite, energy levels, concentration, and self-esteem. In severe cases, they might have thoughts of death or suicide.
Bipolar disorders involve alternating episodes of mania (or hypomania) and depression. During a manic episode, individuals may feel extremely elated, energetic, or irritable, with racing thoughts, rapid speech, and impulsive behavior. They might engage in risky activities, have decreased sleep needs, and display poor judgment. In contrast, depressive episodes involve the same symptoms as depressive disorders.
Mood disorders can be caused by a combination of genetic, biological, environmental, and psychological factors. Proper diagnosis and treatment, which may include psychotherapy, medication, or a combination of both, are essential for managing these conditions and improving quality of life.
Mydriatics are medications that cause mydriasis, which is the dilation of the pupil. These drugs work by blocking the action of the muscarinic receptors in the iris, leading to relaxation of the circular muscle and constriction of the radial muscle, resulting in pupil dilation. Mydriatics are often used in eye examinations to facilitate examination of the interior structures of the eye. Commonly used mydriatic agents include tropicamide, phenylephrine, and cyclopentolate. It is important to note that mydriatics can have side effects such as blurred vision, photophobia, and accommodation difficulties, so patients should be advised accordingly.
Tropicamide is a muscarinic antagonist, which is a type of drug that blocks the action of acetylcholine in the body. In particular, it blocks the muscarinic receptors found in the eye, which results in pupil dilation (mydriasis) and paralysis of the ciliary muscle (cycloplegia).
Tropicamide is commonly used in ophthalmology as a diagnostic aid during eye examinations. It is often instilled into the eye to dilate the pupil, which allows the eye care professional to more easily examine the back of the eye and assess conditions such as cataracts, glaucoma, or retinal disorders. The cycloplegic effect of tropicamide also helps to relax the accommodation reflex, making it easier to measure the refractive error of the eye and determine the appropriate prescription for eyeglasses or contact lenses.
It is important to note that tropicamide can cause temporary blurring of vision and sensitivity to light, so patients should be advised not to drive or operate heavy machinery until the effects of the medication have worn off.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a publication of the American Psychiatric Association (APA) that provides diagnostic criteria for mental disorders. It is widely used by mental health professionals in the United States and around the world to diagnose and classify mental health conditions.
The DSM includes detailed descriptions of symptoms, clinical examples, and specific criteria for each disorder, which are intended to facilitate accurate diagnosis and improve communication among mental health professionals. The manual is regularly updated to reflect current research and clinical practice, with the most recent edition being the DSM-5, published in 2013.
It's important to note that while the DSM is a valuable tool for mental health professionals, it is not without controversy. Some critics argue that the manual medicalizes normal human experiences and that its categories may be too broad or overlapping. Nonetheless, it remains an essential resource for clinicians, researchers, and policymakers in the field of mental health.
Mydriasis is a medical term that refers to the dilation or enlargement of the pupil, which is the black circular opening in the center of the iris (the colored part) of the eye. The pupil normally adjusts its size in response to changes in light levels and emotional state. In mydriasis, the pupil becomes widely dilated and less responsive to light. This can occur naturally due to factors such as strong emotions, fear, or physical exertion, but it can also be caused by certain medications, eye drops, or medical conditions like brain injuries or neurological disorders. It is important to note that mydriasis can affect one or both eyes and may have different clinical significance depending on the context.
Parasympatholytic
Short ciliary nerves
Argyll Robertson pupil
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Ciliary ganglion
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Pupils, Unequal - Eye Disorders - Merck Manuals Consumer Version
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Anisocoria3
- Unequal pupil size is called anisocoria. (merckmanuals.com)
- Physiologic anisocoria is pupils that are naturally different in size. (merckmanuals.com)
- Pressure in head can cause dizziness, drowsiness and anisocoria (unequal pupil size)? (healthtap.com)
Dilate1
- Pupils get larger (dilate) in dim light and smaller (constrict) in bright light. (merckmanuals.com)
Unequal pupils6
- More often, unequal pupils are noticed only during a doctor's examination. (merckmanuals.com)
- Unequal pupils themselves usually cause no symptoms, but occasionally a person may have trouble focusing on near objects. (merckmanuals.com)
- These more noticeable symptoms are often the reason people seek medical care rather than the unequal pupils. (merckmanuals.com)
- Eye disorders that cause unequal pupils include birth defects and eye injury. (merckmanuals.com)
- Inflammation of the iris (iritis) and certain types of glaucoma cause unequal pupils, but this finding is usually overshadowed by severe eye pain. (merckmanuals.com)
- Unequal pupils can be from many conditions, some of which are very serious. (healthtap.com)
Abnormal3
- Either the larger or the smaller pupil may be the abnormal one depending on the cause. (merckmanuals.com)
- If the larger pupil is abnormal, the difference between pupil sizes is greater in bright light. (merckmanuals.com)
- If the smaller pupil is abnormal, the difference is greater in the dark. (merckmanuals.com)
Symptoms8
- Also, the underlying disorder sometimes causes other symptoms such as eye pain and redness, loss of vision, drooping eyelid, double vision, or headache. (merckmanuals.com)
- In such people, both pupils react normally to light and darkness and there are no symptoms. (merckmanuals.com)
- causes, symptoms, reeducation and compensation, evaluation and classification of pupils with specific learning disorders. (muni.cz)
- examination state - exam fever/stage fright (symptoms, consequences, reduction of stage fright on the part of teacher and pupil, kinds of stage fright). (muni.cz)
- When recalling symptoms of the past week, sleep disorders due to acne were reported by 16.6% of pupils (1). (aad.org)
- If there are no other symptoms and if the pupils return to normal, then it is nothing to worry about. (adam.com)
- Symptoms of drug use disorders may differ, as each drug has different effects. (americanbar.org)
- However, some eye disorders cause few or no symptoms in their early stages, so the eyes should be checked regularly (every 1 to 2. (merckmanuals.com)
Pupillary1
- Pupillary disorders. (adam.com)
Cornea1
- The cornea is the clear layer in front of the iris and pupil. (merckmanuals.com)
Eyelid4
- Horner Syndrome Horner syndrome affects one side of the face, causing the eyelid to droop, the pupil to become small (constricted), and sweating to decrease. (merckmanuals.com)
- These pathways carry nerve impulses to the pupil and to the muscles that control the eye and eyelid. (merckmanuals.com)
- Thus, people with nervous system disorders that affect the pupil often also have a drooping eyelid, double vision, and/or visibly misaligned eyes. (merckmanuals.com)
- Horner syndrome refers to the combination of a constricted pupil, drooping eyelid, and loss of sweating around the affected eye. (merckmanuals.com)
Psychosis1
- 8. Mental health and mental disorders (psychosis, neurosis, psychopathy and mental retardation). (muni.cz)
Neurological Disorders1
- Neurological Disorders of the Eye: Interrupt Unituxin for dilated pupil with sluggish light reflex or other visual disturbances and permanently discontinue Unituxin for recurrent eye disorders or loss of vision. (nih.gov)
Autism3
- These schools provide education to pupils with intellectual, sensory or physical disabilities, pupils with communication difficulties, pupils with autism, pupils with complex needs, and pupils with learning and/or behavioural difficulties. (european-agency.org)
- She has worked with children with learning difficulties and disorders, autism, ADHD, sensory processing difficulties, and multiple disabilities. (researchgate.net)
- Effective education is a crucial intervention for children with autism spectrum disorder (ASD) and it is vital that teachers are confident and appropriately skilled. (researchgate.net)
Autistic spectrum2
- School 2 will be located on the Giantswood housing development site in Congleton and will provide 60 places for children and young people with autistic spectrum disorder. (cheshireeast.gov.uk)
- other situations that may seriously limit the pupil's daily activities, such as borderline intellectual functioning or mild autistic spectrum disorder without comorbidity. (european-agency.org)
Prevalence1
- However, significant differences were found in the prevalence and magnitude of several pupil variables in the two patient groups. (nih.gov)
Specific learning1
- Law 170/2010 recognises dyslexia, dysgraphia, dysorthographia and dyscalculia as specific learning disorders (SLDs). (european-agency.org)
Sensory1
- According to the definition set out in Law 104/1992, pupils with disabilities are those with physical, intellectual or sensory impairments, whether stable or progressive, causing learning and working difficulties that can produce social detriment and alienation. (european-agency.org)
Developmental disorders2
- The Ministerial Directive of 27 December 2012 also considers other specific developmental disorders (which are not included in Law 104 and Law 170). (european-agency.org)
- The competent offices of the national health system diagnose specific developmental disorders and the pupil's family submits the relevant documentation to the school. (european-agency.org)
Glaucoma1
- Such drugs may be drops intended to treat eye disorders (for example, homatropine used for certain inflammatory disorders or injuries or pilocarpine used for glaucoma), or they may be drugs or other substances that accidentally get into the eye (for example, scopolamine used as a patch for motion sickness, plants such as jimsonweed, or certain insecticides). (merckmanuals.com)
Signs3
- This webinar explored what eating disorders are, how to spot the signs in students across key stages, barriers that may arise for students (and staff trying to support them) and practical strategies to overcome these barriers. (chartered.college)
- To compare the pupil signs in patients with bilateral pupillotonia caused by Holmes-Adie syndrome or generalised peripheral neuropathy. (nih.gov)
- Regardless of aetiology, the patients generally had pupil signs typical of pupillotonia (small dark diameters, large light diameters, tonic near responses, attenuated light responses with light-near dissociation, and sector palsy). (nih.gov)
Neurodegenerative2
Difficulties3
- A counselling system for pupils with behavioural difficulties (disorders) has been set up. (european-agency.org)
- 3. Teacher's personality psychology - approaches and methods of exploring teacher's personality, requirements for teacher's personality, teacher's personality from the perspective of pupils, some typologies of teachers' personalities, development and formation of the teachers' personality, difficulties in the development of the teachers' personality. (muni.cz)
- Evidence suggests that cognitive and literacy difficulties are common for children with Attention-Deficit/Hyperactivity Disorder (ADHD). (surrey.ac.uk)
Injuries3
- Disorders outside the brain that affect the sympathetic nervous system include tumors and injuries that involve the neck or upper part of the chest. (merckmanuals.com)
- There is a strong connection between deficits in eye movements and various underlying brain disorders and injuries. (tobii.com)
- Nigeria on their practice of some types of corporal punishment (CP) that could result in eye injuries among their pupils. (bvsalud.org)
Dysfunction1
- Detection of autonomic dysfunction may therefore be helpful in diagnosing PD in the early or pre-motor stages, and/or in differentiating it from other parkinsonian disorders, such as multiple system atrophy and progressive supuranuclear palsy. (bmj.com)
Attention deficit1
- Children with Attention Deficit Hyperactivity Disorder (ADHD) are more at risk for academic underachievement compared to their typically developing peers. (surrey.ac.uk)
Genetic1
- If other family members also have similar pupils, then the pupil size difference could be genetic and is nothing to worry about. (adam.com)
ADHD2
- Ten primary school pupils with ADHD (aged 6-11 years) and their teachers (N = 6) took part in semi-structured interviews that focused on (1) ADHD knowledge, (2) the child's strengths and challenges at school, and (3) strategies in place to support challenges. (surrey.ac.uk)
- The effects of ADHD teacher training programs on teachers and pupils: A systematic review and meta-analysis. (bvsalud.org)
Include3
- Brain disorders that can affect these pathways include strokes, brain hemorrhage (spontaneous or due to head injury), and, less commonly, certain tumors or infections. (merckmanuals.com)
- How will you include all members of your school community when supporting students with eating disorders? (chartered.college)
- Examples include sleep terrors, sleepwalking, nightmare disorder, sleep-related eating disorder and sleep paralysis. (clevelandclinic.org)
Syndrome2
- Bilateral tonic pupils: Holmes Adie syndrome or generalised neuropathy? (nih.gov)
- Infrared video pupillographic techniques were used to measure a number of pupil variables in patients with Holmes-Adie syndrome, generalised neuropathy (various aetiologies) and healthy age-matched control subjects. (nih.gov)
Movements1
- Their eyes were fitted with glasses to track the movements of their eyes and pupil. (instachronicles.com)
Primary School2
- The school, which is federated with Torriano Primary School under an Executive Headteacher, also has a nursery for pre-school pupils. (camden.gov.uk)
- A sample of 156 pupils aged 8.4 years-11.3 years and attending Italian primary school completed a battery of tests assessing writing speed, visuo-spatial abstract reasoning, fluency, and static balance abilities objectively assessed by measuring postural sway. (bvsalud.org)
Eyes6
- The pupil in our eyes is like a window through which light enters and through this, we can the beautiful things around us. (instachronicles.com)
- In this, they were simply asked to imagine those light and dark objects, with open eyes so that they can check the movement of their pupils. (instachronicles.com)
- Left pupil slightly larger than the right but mostly under certain lights or when light hits the eyes directly any reason why this is happening? (healthtap.com)
- Other medicines that get in the eyes, including medicine from asthma inhalers, can change pupil size. (adam.com)
- Bloodshot eyes or pupils that are larger or smaller than usual. (americanbar.org)
- Other features of this disorder are a racing heart rate, open eyes with dilated pupils, fast breathing and sweating. (clevelandclinic.org)
Wrinkles1
- their pupils have become colorless and pigmentation disorders and deep wrinkles have appeared on their bald heads. (stalker-game.com)
Diagnosis1
- This study focuses on eye movement disorders, in particular nystagmus, and the possibility of using eye tracking as an established form of diagnosis tool. (tobii.com)
Disease4
- A disease involving the pupil. (nih.gov)
- 1, 2] Ninety percent of patients with myasthenia gravis develop ophthalmologic manifestations of the disease, a disorder of neuromuscular transmission characterized by weakness and fatigability of skeletal muscles. (medscape.com)
- Unequal pupil sizes of more than 1 mm that develop later in life and do not return to equal size may be a sign of an eye, brain, blood vessel, or nerve disease. (adam.com)
- Is Alzheimer Disease an Autoimmune Disorder? (houstonmethodist.org)
Occurs1
- Patients with major depressive disorder (MDD), both adult and pediatric, may experience worsening of their depression and/or the emergence of suicidal ideation and behavior (suicidality) or unusual changes in behavior, whether or not they are taking antidepressant medications, and this risk may persist until significant remission occurs. (nih.gov)
Medicines1
- Using medicines to treat OUD is called medications for opioid use disorder (MOUD). (medlineplus.gov)
Depression1
- Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. (nih.gov)
Babies1
- Babies born with different sized pupils may not have any underlying disorder. (adam.com)
Stroke2
- Objectives:To determine the pattern of ocular disorders among stroke patients in Federal Teaching Hospital, Lokoja (FTHL).Materials and Methods:Consecutive new stroke patients seen at the Federal Teaching Hospital, Lokoja over a 3-month period were studied. (bvsalud.org)
- Other ocular abnormalities included corneal anaesthesia and macular hole in 2(1.2%).Conclusion:Anterior and posterior segments, together with neuro-ophthalmic disorders were found among stroke patients in this study. (bvsalud.org)
Found2
- It was found that even in imagination, their pupil responded the same. (instachronicles.com)
- Slight differences in pupil sizes are found in up to 1 in 5 healthy people. (adam.com)
Size11
- Usually both pupils are about the same size and respond to light equally. (merckmanuals.com)
- By coding the Cookie Theft picture into areas of interest, the researchers fused eye tracking data - fixation, saccades, and pupil size - with language data. (tobii.com)
- Doesn't cause any pain but it does cause dizziness and unequal pupil size. (healthtap.com)
- Also, for unknown reasons, pupils may temporarily differ in size. (adam.com)
- The use of eye drops is a common cause of a harmless change in pupil size. (adam.com)
- Treatment depends on the cause of the unequal pupil size. (adam.com)
- You should see a health care provider if you have sudden changes that result in unequal pupil size. (adam.com)
- Contact a provider if you have persistent, unexplained, or sudden changes in pupil size. (adam.com)
- If there is any recent change in pupil size, it may be a sign of a very serious condition. (adam.com)
- If you have differing pupil size after an eye or head injury, get medical help immediately. (adam.com)
- Wings Over Europe told the story of a young scientist who stumbles on the key to the energy bound up in atoms, en-dearingly demonstrating his skill by detonat-ing a lump of sugar and carving out a crater the size of Vesuvius. (nzgeo.com)
Larger1
- It is known that pupil gets larger when we are doing a difficult task. (instachronicles.com)
Schools6
- Mainstream schools were opened up to pupils with SEN. (european-agency.org)
- A counselling system was developed for pupils with SEN to support their integration and inclusion in mainstream schools and for pupils who are educated at home for specific health reasons. (european-agency.org)
- Pupils with SEN are educated preferably in mainstream classes, but they can attend special classes within mainstream schools, or schools ('special schools') founded for those pupils with special needs whose parents prefer this kind of school. (european-agency.org)
- Pupils who are ill or those with a health risk are temporarily placed in hospitals and/or other healthcare institutions and can attend schools in these institutions. (european-agency.org)
- Special schools offer education for pre-primary children, for pupils of compulsory school age and for those at upper-secondary level, including vocational schools. (european-agency.org)
- If they are to get the most from their education it is important for schools to know what, and how, to tell all pupils about their condition. (teachingexpertise.com)
Teachers2
- This bitesize CPD collection is part of a series of online micro learning units for teachers and school leaders on supporting pupil mental health and wellbeing in practice. (chartered.college)
- The course aims to expand understanding of pupils and also to oneself, to improve communication skills a to support chances of healthy co-operation of pupils as well as their teachers. (muni.cz)
Children1
- Antidepressants increased the risk compared to placebo of suicidal thinking and behavior (suicidality) in children, adolescents, and young adults in short-term studies of major depressive disorder (MDD) and other psychiatric disorders. (nih.gov)
Light2
- When we experience visual imagination, our pupils respond to it by optimizing the amount of light hitting the retina. (instachronicles.com)
- In dark shape, pupils tend to expand, whereas in light shape pupils tend to contract. (instachronicles.com)
Journal3
- Ingår i Journal of Attention Disorders , s. 1656-1666, 2019. (uu.se)
- Journal of Affective Disorders Reports. (houstonmethodist.org)
- Journal of Attention Disorders, 26 (2), 225-244. (bvsalud.org)
Substance2
- Substance use disorder (SUD) affects a person's ability to control their use of alcohol or drugs. (medicalnewstoday.com)
- What is substance use disorder? (medicalnewstoday.com)
People1
- People with certain inherited disorders are also at higher risk. (nih.gov)
Sizes4
- If pupil sizes are very unequal, a person may notice the discrepancy. (merckmanuals.com)
- What are reasons why my eye pupils are different sizes? (healthtap.com)
- I have unequal pupil sizes. (healthtap.com)
- Is this new for you or have your pupils ever been different sizes before? (adam.com)
Range1
- A broad range of support provisions has been implemented to increase the participation of pupils with special needs in mainstream education. (european-agency.org)
Psychiatry1
- The research summary on eating disorders in males is based on a research paper in the field of psychiatry, which highlights the relationships between eating disorders and gender. (chartered.college)
Clinical1
- Through clinical and basic research, they have made valuable contributions to both the understanding and treatments of ophthalmic disorders. (cuanschutz.edu)
Risk1
- When using opioids, there is also a risk of opioid use disorder (OUD). (medlineplus.gov)
Dark1
- The pupils of Phantasia dilated when they imagined four objects instead of one, but didn't change in bright and dark. (instachronicles.com)
Support4
- The research summary on identifying and supporting students with eating disorders signposts further reading and resources to support your learning from the webinar. (chartered.college)
- What strategies do you currently use to support students with eating disorders in your setting? (chartered.college)
- Ria is anxious to support her pupil Jazz who has an eating disorder and confronts her mum who ends up in tears but at least Jazz gets help. (britishtheatreguide.info)
- Lawyer assistance programs (LAPs) are here to support lawyers, judges, students and other legal professionals who suffer from drug use disorders. (americanbar.org)
Addiction1
- Drug use disorders, also known as addiction, are chronic and progressive diseases. (americanbar.org)