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- W222696522 abstract "This chapter reviews a medical case of a painful eye. A 52-year-old man had a 6-week history of pain in the right eye. He was hypertensive and had maturity-onset diabetes. His mother had multiple sclerosis and died 8 years previously of bronchopneumonia. On examination, his blood pressure was 180/105 mmHg. He had a quiet systolic bruit over the left carotid artery. Sense of smell was preserved. Visual acuity was J2 in both eyes. Visual fields were full to confrontation. The right pupil was dilated with no direct pupillary light reflex, although the left constricted. On testing, the left eye constricted directly but there was no response on the right. There was a full range of eye movement. The lower cranial nerves were normal. The signs were those of an efferent pupillary defect. Pupilloconstrictor fibers and those to levator palpabrae superiores lie around the outside of the IIIrd nerve and receive blood supply from the meninges. Compressive lesions cause trigeminal pain, pupillary dilatation, and ptosis, whereas occlusive arterial lesions cause a painless ophthalmoplegia." @default.
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- W222696522 date "1988-01-01" @default.
- W222696522 modified "2023-09-27" @default.
- W222696522 title "A painful eye" @default.
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- W222696522 doi "https://doi.org/10.1016/b978-0-407-00544-0.50052-9" @default.
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