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Syndrome reference sheet
Generated 12 Oct 2026
Ophthalmology · Ophthalmology / Strabismus and neuro-ophthalmology Adie tonic pupil syndrome
Also known as: Holmes–Adie syndrome
Tonic dilated pupil with absent deep tendon reflexes.
- Medical specialty
- Ophthalmology
- Subspecialty
- Ophthalmology / Strabismus and neuro-ophthalmology
- Sex & age distribution
- Male: affected; Female: affected, 2.6:1 female predominance; Children: rare, onset 20–40 years
- Gene(s) involved
- None recorded
Etiology & mechanism
Postganglionic parasympathetic denervation of the ciliary ganglion.
Gene(s) involved (0)
No gene recorded.
Symptoms & signs (6)
blurred near visiondilated pupilhyporeflexialight-near dissociationphotophobiasegmental iris palsy