Spontaneous resolution of iatrogenic tonic pupil following argon laser iridoplasty
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Abstract
We introduced a 19-year-old female patient who presented with photophobia and decreased vision following Argon laser iridoplasty in the left eye. Examination revealed anisocoria, with a dilated left pupil that was poorly responded to light, while the right pupil remained normal. Diluted pilocarpine 0.0625% test was positive, confirming iatrogenic tonic pupil. After 8 months, her anisocoria was found to naturally recover with restoration of best-corrected visual acuity and resolution of photophobia. This case highlighted the potential for Adie-like tonic pupil as a rare complication of laser procedures for ocular conditions. Therefore, awareness of this possibility is important for preoperative counseling and postoperative management to prevent patient distress and visual discomfort.
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Keywords
iatrogenic, tonic pupil, iridoplasty argon laser
References
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