Adie syndrome, also called Holmes-Adie syndrome or Adie 's tonic pupil, is a rare neurological disorder, which affects the autonomic nervous system and the eye’s pupil (the opening in the centre of the eye). In most patients, the pupil of the eye is larger than normal (dilated) and react slowly in response to direct light. Poor or absent tendon reflexes are also linked to this disorder. Causes The exact cause of Adie 's pupil has been unknown. There are many potential causes, including a type of bacterial or viral infection that damages the nerves, but often Adie 's pupil is idiopathic, meaning it has no known cause. Symptoms Here’s the list of symptoms mentioned in various sources for the Adie syndrome includes: 1. Dilated pupils 2. Blurry vision or …show more content…
Your doctor will most likely conduct a comprehensive eye examination, which may include shining a very bright light into your eyes to check out the reaction of your pupil. Your ophthalmologist may also instill diagnostic eye drops to evaluate the location in the nerve pathway that problems may be happening. You may or may not be referred to a neuro-ophthalmologist for further diagnosis or tests. Treatment The standard treatment for Adie syndrome typically involves wearing of bifocals or reading glasses to help you with trouble focusing close. A drug called pilocarpine is often prescribed to decrease the size of the pupil in people coping with light sensitivity or night driving glare. Brimonidine, a glaucoma medicine, has also been used to decrease the pupil size. Excessive sweating can be treated by a surgical procedure called thoracic sympathectomy. Prevention Protect your eyes form sun rays and keep your eyes clean. Wear protective eye-wear. Have a complete dilated eye exam regularly by your ophthalmologist. Know if someone in your family has been diagnosed with a disease or condition because many are hereditary. This will help determine if you are at higher risk of developing an eye disease or