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Arch Ophthalmol. 2002;120:509-510.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Congenital mydriasis is a very rare abnormality that occurs in combination with a failure of accommodation. Herein we describe 2 patients in whom these ocular defects are associated with patent ductus arteriosus (PDA).

Report of Cases

Case 1

This 15-week-old infant was first seen by us 2 weeks after she had undergone surgery for a large PDA.¹ Her parents had observed the dilated pupils since birth. The photographically measured diameter of the round pupils was 6.5 mm. They were not reactive to light, to an eyelid closure effort, or to the administration of up to a 1% concentration of pilocarpine eyedrops. Streak retinoscopy revealed a refraction of OD +3.0 diopter sphere (D sph) and OS +2.5 D sph that remained uninfluenced by topical application of pilocarpine. Apart from the lack of accommodation and pupillary constriction, all ocular findings were normal. No other pupillary abnormalities were known in the family. The infant was given spectacles to . . . [Full Text of this Article]

Case 2

Comment
Corresponding author: Michael H. Gräf, MD, Department of Strabismology and Neuro-ophthalmology, University of Giessen, Friedrichstrasse 18, D-35385 Giessen (e-mail: michael.h.graef@augen.med.uni-giessen.de).