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contentuptodate· Content· item f26_9_26770

©2013 UpToDate ® Print Email Bilateral tonic pupils The top panel shows the poor reaction to light in both eyes. The bottom panel shows the much better near reaction in both eyes, with the right pupil constricting a bit more than the left. These photos thus illustrate the characteristic light-near dissociation seen with tonic pupils. Courtesy of Andrew G Lee, MD and Paul W Brazis, MD.