Advertisement

Starry Eye

Published:November 06, 2022DOI:https://doi.org/10.1016/j.amjmed.2022.10.007
      A 73-year-old woman with a past medical history of stroke, hypertension, and end-stage renal disease, on hemodialysis, presented to the Emergency Department for altered mental status and slurred speech. On physical examination, she had a right pupillary defect in a star-like pattern, with initial concern for a blown pupil (Figure), raising suspicion for acute stroke. Her initial blood pressure was 230/110 mm Hg, and neuroimaging was unremarkable for stroke. She was admitted for hypertensive emergency.
      Figure
      FigureRight festooned pupil in the shape of a star due to multiple posterior synechiae.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kaiser P
        • Friedman N
        • Pineda R
        Iris and pupils.
        The Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology. Saunders Elsevier, 4th ed. New York2014: 257-263 (4th ed)
      1. Sowka J, Kabat AG. Develop a flare for uveitis. Review of Optometry. January 15, 2006. Available at: https://www.reviewofoptometry.com/article/develop-a-flare-for-uveitis. Accessed October 1, 2022.