what is anisocoria and tonic pupils?
Disease Entity. Disease. Adieâs Tonic Pupil, also known as Adieâs Syndrome or Holmes-Adie Syndrome, is a disorder of the autonomic nervous system characterized by mydriasis with poor or sluggish pupillary constriction in bright light with slow redilation and decreased deep tendon reflexes.
Normally the size of the pupil is the same in each eye, with both eyes dilating or constricting together. The term anisocoria refers to pupils that are different sizes at the same time. The presence of anisocoria can be normal (physiologic), or it can be a sign of an underlying medical condition.