In which lighting condition is pupillary inequality due to Horner’s syndrome most obvious?

In which lighting condition is pupillary inequality due to Horner’s syndrome most obvious?

Pupillary inequality due to an oculomotor palsy is most obvious in a well-lit room, whereas pupillary inequality due to Horner’s syndrome is most obvious in a dimly lit room. This is because Horner’s syndrome affects the sympathetic pathway, leading to a smaller pupil (miosis) that is more noticeable in low light conditions when the pupil should normally dilate.

Verifiziert von Dr. Petya Stefanova

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