Conveniently, a popular mnemonic to remember Argyll Robertson pupils is that, just like prostitutes, they "accommodate but do not react". Marcio Luiz Figueredo Balthazar1, Marcondes Cavalcante Frana Jr1. It is commonly called prostitutes pupil due to the relation to neurosyphilis and because it accommodates but does not react. It is a constricted pupil that accommodates when focusing on a near object but does not react to light. Named after Douglas Argyll Robertson (1837–1909), a Scottish surgeon and ophthalmologist, who first described this condition in mid-1860s in patients with neurosyphilis.Īrgyll Robertson pupils are also sometimes called "prostitute's pupils" because of their association with late neurosyphilis. An Argyll-Robertson pupil is a specific finding in neurosyphilis. Synonyms: Argyll Robertson phenomenon or pupil, nonsyphilitic Argyll Robertson pupil, atypical Argyll-Robertson pupil atypical Argyll-Robertson pupil. The exact anatomical lesion behind this phenomenon is unknown but is thought to be caused by bilateral damage of the pretectal nuclei in the midbrain. When seen in these non-syphilitic etiologies, the pupil is termed ' pseudo-Argyll Robertson pupil' 3. fixed pupil a pupil that does not react either to light or on. It is a highly specific sign of late neurosyphilis, however can also occur in diabetic neuropathy, multiple sclerosis, alcoholic midbrain degeneration, and stroke 2,3. Argyll Robertson pupil one that is miotic and responds to accommodation effort, but not to light. Argyll Robertson phenomenon or pupil, nonsyphilitic Argyll Robertson pupil, atypical Atypical Argyll-Robertson pupil.
Argyll Robertson is also credited with being the first to recommend trephining the sclera in those cases of glaucoma where extensive degenerative changes in the iris made an iridectomy impracticable.Ĭonclusion As we approach the centenary of his death Argyll Robertson deserves to be celebrated for more than his pupil.Argyll Robertson pupil is usually bilateral and presents as bilaterally miotic and irregular pupils, which constrict briskly with accommodation but do not react to bright light therefore displaying light-near dissociation 1. His other contributions include: lupus of the eyelid, aetiology of glaucoma, melanotic tumor, diphtheritic ophthalmia, sympathetic ophthalmia, retinitis pigmentosa, hypertrophy of the lacrimal gland, senile entropion, hydrophthalmos, asteroid hyalitis, pulsating exophthalmos, conjunctival filiariasis, albuminuric retinitis, miner’s nystagmus and microphthalmos. One of three patients showed unilateral Argyll-Robertson pupil. Miotic, light-rigid pupils, i.e., Argyll-Robertson pupils were found in only three of these patients. This condition was named the "Argyll Robertson pupil" and as a clinical sign is almost always indicative of neurosyphilis. The pupillary disturbances in twenty five neurosyphilitic patients were investigated. He also described in cases of spinal cord disease that there may be loss of the light reflex of the pupil but retention of its movement in accommodation. He introduced extracts of Calabar bean (Physostigma venenosum), in the treatment of glaucoma. Argyll Robertson made major contributions to ophthalmic surgery. Douglas completed his medical education under von Arlt in Prague and Albrecht von Graefe in Berlin. In this he was no doubt encouraged by the memory of his father, John Argyll Robertson, who was one of the founders of the Edinburgh Eye Dipensary but who had died when his son was only 18 years of age.
Results Douglas Argyll Robertson (1837-1909) was the first surgeon in Scotland to practice entirely in the field of ophthalmology.
#ARGYLL ROBERTSON PUPIL SERIES#
Methods The data dealt with in this paper is analysed both from the historical and present-day perspectives. Quick Discussion Series Argyll Robertson Pupil Preserved accomodation reflex with absent light reflexLesion at the pretectal nucleus.THE WHITE ARMYTo make st. Purpose To study medical achievements of Douglas Argyll Robertson in ophthalmology. Douglas Argyll Robertsons (1837-1909) experimental work with physostigmine in 1863 sharpened his knowledge of the innervation of the internal muscles of the eye.
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