Unilateral afferent pupillary defects in asymmetric glaucoma
A. S. Prywes
Unilateral relative afferent pupillary defects are associated with
unilateral prechiasmal lesions affecting the retinomesencephalic pathway.
Five patients with unilateral or asymmetric glaucoma and relative afferent
pupillary defects are presented. The lack of descriptions of relative
afferent pupillary defects in unilateral glaucoma may be explained by the
frequency with which these patients are treated with miotics, the
association of trauma, and the presence of anatomic alterations of the
iris. It is important to distinguish unilateral afferent pupillary defects
in glaucoma from those associated with other neuro-ophthalmic disorders
that require more invasive diagnostic procedures.
