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Adie's syndrome in childhood
M F Söylev1, O Saatci, S Kavukcu
1Department of Ophthalmology, Dokuz Eylül University Medical School, Izmir, Turkey.
Acta Paediatrica Japonica : Overseas Edition
|June 1, 1997
Summary
This case study highlights Adie's syndrome in an 8-year-old girl, diagnosed after anisocoria was missed during amblyopia treatment. Early childhood Adie's syndrome is rare but possible.
Area of Science:
- Pediatric Ophthalmology
- Neuro-ophthalmology
Background:
- Amblyopia treatment can mask other conditions like anisocoria.
- Early detection of neurological signs is crucial in pediatric care.
Observation:
- An 8-year-old girl with amblyopia had anisocoria overlooked during occlusion therapy.
- Review of old photographs indicated anisocoria present since age 3.
- A 0.1% pilocarpine test was used for diagnosis.
Findings:
- The pilocarpine test confirmed Adie's syndrome.
- Anisocoria was present in the patient from a young age.
Implications:
- Adie's syndrome, though rare, should be considered in pediatric patients with anisocoria.
- Ophthalmologists must be vigilant for signs of Adie's syndrome in children.