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Pasquale F. Finelli, MD
Veterans Administration Medical Center Providence, RI 02908

Arch Neurol. 1981;38(2):136.

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

To the Editor.—

Prompted by Fisher's article, "Oval Pupils" (ARCHIVES 1980;37:502-503), I should like to call attention to a previous case report where an oval pupil was of diagnostic importance.¹ A 52-year-old chronic alcoholic had, over a ten-year period, been labeled with the diagnosis of "idiopathic anisocoria." Examination of the eyes showed that the right pupil was round and measured 1.5 mm in diameter; the left was oval and measured 5 mm in the largest diameter (Figure). Grossly, no pupillary reaction was apparent; however, with slitlamp magnification, both pupils reacted minimally to light and near stimulation. The serum FTA-ABS was positive for both the patient and his wife, who stated that both she and her husband were treated for venereal

Oval pupil. disease in 1946 for ten days with penicillin injections.

Duke-Elder² notes that the oval pupil is common in neurosyphilis, resulting from unequal paresis of the dilator . . . [Full Text PDF of this Article]

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