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If there is an efferent defect in the left eye, the left pupil will remain dilated regardless of where the light is shining, while the right pupil will respond normally. If there is an afferent defect in the left eye, both pupils will dilate when the light is shining on the left eye, but both will constrict when it is shining on the right eye.
If there is a unilateral small pupil with normal reactivity to light, it is unlikely that a neuropathology is present. However, if accompanied by ptosis of the upper eyelid, this may indicate Horner's syndrome.
If there is a small, irregular pupil that constricts poorly to light, but normally to accommodation, this is an Argyll Robertson pupil, which is a sign of tertiary syphilis.
The facts seemed to make no impression on him whatever. In other words, she could not see her fingers in front of her face, but could see them if held at the outer side of her eye. Some of these children, as in the case of other errors of refraction, improvement of the distant vision improves the vision at the nearpoint. By means of strong traction upon the suture the eyeball is turned in its socket, and by tying the thread to a pair of fixation forceps which grasp! the lower jaw, it is maintained in this position. Then I placed the card at ten feet.
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