2. • DEFINITION
• NORMAL PUPIL PATHWAYS
SYMPATHETIC PATHWAY
PARASYMPATHETIC PATHWAY
• PHYSIOLOGICAL ANISOCORIA
• PATHOLOGICAL ANISOCORIA
1.DUE TO LOCAL FACTORS
2.DUE TO DEFECT IN SYMPATHETIC SYSTEM
3.DUE TO DEFECT IN PARASYMPATHETIC SYSTEM
22. CONCLUSIONS
• Is the anisocoria greater in dim light or bright light?
• Is the pupillary reaction to light normal in each eye?
• Is there a light–near dissociation?
• Is there ptosis or abnormal ocular motility?
• Are iris abnormalities noted at the slit lamp?