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Case Reports
Approach to anisocoria in the emergency department; A case report and literature review.
- Kellan Clausen, Steven Davis, and Ali Pourmand.
- Department of Emergency Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States.
- Am J Emerg Med. 2023 Jul 1; 69: 218.e1218.e3218.e1-218.e3.
AbstractAnisocoria describes asymmetric pupillary diameter, which can result from traumatic, pharmacologic, inflammatory, or ischemic effects on the eye. In many cases, anisocoria represents a normal physiologic variant. Morbidity associated with anisocoria is directly related to the inciting cause and can vary from benign to life-threatening. A thorough understanding by emergency physicians of normal ocular neuroanatomy, and of common causes of pathologic anisocoria, including medication-induced anisocoria, can facilitate appropriate resource utilization and timely subspecialty consultation, and can help prevent irreversible ocular injury and patient morbidity. We describe a patient who presented to the emergency department with acute onset of blurry vision with anisocoria.Copyright © 2023 Elsevier Inc. All rights reserved.
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