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Michael P. Blair, MD; Michael Rizen, MD, PhD

Arch Ophthalmol. 2005;123:1017.

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

A 44-year-old man noted mild photophobia, blurry near vision, bilateral cheek swelling (Figure 1), and enlargement of the left pupil for 4 days. He had a 3-month history of fever, malaise, night sweats, and a 7-kg weight loss.

Figure appears in full text version. Figure 1. Bilateral cheek fullness in a 44-year-old man with a 3-month history of malaise, fever, night sweats, and weight loss.

Visual acuity was 20/25 OU at distance. Jaeger measure of near vision (with J1 about equal to 20/25) was J1 OD and J2 OS at 33 cm, and J1 OD and J7 OS at 20 cm with distance correction in place. Although the right pupil constricted briskly from 5 to 3 mm to light and accommodation, the left pupil measured 8 mm and constricted minimally and sluggishly. The anisocoria was more pronounced in the light than in the dark (Figure . . . [Full Text of this Article]

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