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Mydriasis

MedGen UID:
10145
Concept ID:
C0026961
Finding; Sign or Symptom
Synonyms: Dilated pupil; Mydriatic pupil; Pupil dilated; Pupil dilation; Wide pupil
SNOMED CT: Mydriatic pupil (37125009); Dilated pupil (37125009); Pupil dilated (37125009); Wide pupil (37125009); Mydriasis (37125009); Pupil dilation (37125009)
 
HPO: HP:0011499

Definition

Abnormal dilatation of the iris. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVMydriasis

Conditions with this feature

Pseudoexfoliation glaucoma
MedGen UID:
60133
Concept ID:
C0206368
Disease or Syndrome
Exfoliation syndrome (XFS) is a common age-related disorder of the extracellular matrix that is frequently associated with severe chronic secondary open-angle glaucoma and cataract. XFS syndrome may affect up to 30% of people over 60 years of age worldwide and is biomicroscopically diagnosed by abnormal microfibrillar deposits on ocular structures that line the aqueous-bathed surfaces of the anterior segment (summary by Schlotzer-Schrehardt and Naumann, 2006).
Autosomal recessive osteopetrosis 5
MedGen UID:
409627
Concept ID:
C1968603
Disease or Syndrome
Autosomal recessive osteopetrosis-5 (OPTB5) is a form of infantile malignant osteopetrosis, characterized by defective osteoclast function resulting in decreased bone resorption and generalized osteosclerosis. Defective resorption causes development of densely sclerotic fragile bones and progressive obliteration of the marrow spaces and cranial foramina. Marrow obliteration is associated with extramedullary hematopoiesis and hepatosplenomegaly, and results in anemia and thrombocytopenia, whereas nerve entrapment accounts for progressive blindness and hearing loss. Other major manifestations include failure to thrive, pathologic fractures, and increased infection rate. Most affected children succumb to severe bone marrow failure and overwhelming infection in the first few years of life (summary by Quarello et al., 2004).
Multisystemic smooth muscle dysfunction syndrome
MedGen UID:
462551
Concept ID:
C3151201
Disease or Syndrome
Smooth muscle dysfunction syndrome (SMDYS) presents with a recognizable pattern of complications, including congenital mydriasis, patent ductus arteriosus (PDA), pulmonary artery hypertension, aortic and other arterial aneurysms, moyamoya-like cerebrovascular disease, intestinal hypoperistalsis and malrotation, and hypotonic bladder. It is caused by heterozygous mutations of the ACTA2 gene altering the arginine-179 codon (summary by Regalado et al., 2018).
Megacystis-microcolon-intestinal hypoperistalsis syndrome 2
MedGen UID:
1788773
Concept ID:
C5543476
Disease or Syndrome
Megacystis-microcolon-intestinal hypoperistalsis syndrome-2 (MMIHS2) is characterized by prenatal bladder enlargement, neonatal functional gastrointestinal obstruction, and chronic dependence on total parenteral nutrition and urinary catheterization. The majority of cases have a fatal outcome due to malnutrition and sepsis, followed by multiorgan failure (summary by Wang et al., 2019). For a discussion of genetic heterogeneity of MMIHS, see 249210.
Megacystis-microcolon-intestinal hypoperistalsis syndrome 4
MedGen UID:
1783600
Concept ID:
C5543519
Disease or Syndrome
Megacystis-microcolon-intestinal hypoperistalsis syndrome-4 (MMIHS4) is a severe early-onset disorder characterized by impaired smooth muscle contractility in the bladder and intestines (Kandler et al., 2020). For a discussion of genetic heterogeneity of MMIHS, see 249210.
Craniotubular dysplasia, Ikegawa type
MedGen UID:
1806238
Concept ID:
C5575335
Disease or Syndrome
Craniotubular dysplasia, Ikegawa type (CTDI) is characterized by childhood-onset short stature in association with macrocephaly, dolichocephaly, or prominent forehead. Radiography shows hyperostosis of the calvaria and skull base, with metadiaphyseal undermodeling of the long tubular bones and mild shortening and diaphyseal broadening of the short tubular bones. Affected individuals experience progressive vision loss in the first decade of life due to optic nerve compression, and deafness may develop in the second decade of life (Guo et al., 2021).

Professional guidelines

PubMed

Yong KL, Beckman TJ, Cranstoun M, Sullivan TJ
Ophthalmic Plast Reconstr Surg 2020 Nov/Dec;36(6):590-595. doi: 10.1097/IOP.0000000000001657. PMID: 32282644
Gardella E, Møller RS
Epilepsia 2019 Dec;60 Suppl 3:S77-S85. doi: 10.1111/epi.16319. PMID: 31904124
Lin S, Ramulu P, Lamoureux EL, Sabanayagam C
Clin Exp Ophthalmol 2016 May;44(4):300-20. Epub 2016 May 1 doi: 10.1111/ceo.12745. PMID: 26991970

Recent clinical studies

Etiology

Sarnicola E, Sarnicola C, Sarnicola V
Curr Opin Ophthalmol 2023 Jan 1;34(1):71-77. Epub 2022 Nov 21 doi: 10.1097/ICU.0000000000000922. PMID: 36484211
Bezatis A, Georgou I, Dedes J, Theodossiadis P, Chatziralli I
Clin Exp Optom 2022 Apr;105(3):263-267. Epub 2021 Jul 1 doi: 10.1080/08164622.2021.1945412. PMID: 34210237
Demeulemeester V, Van Hautem H, Cools F, Lefevere J
J Neonatal Perinatal Med 2018;11(4):439-441. doi: 10.3233/NPM-1791. PMID: 30149475
Cheshire WP Jr
Auton Neurosci 2016 Apr;196:91-104. Epub 2016 Jan 6 doi: 10.1016/j.autneu.2016.01.001. PMID: 26794588
de la Torre R, Farré M, Roset PN, Pizarro N, Abanades S, Segura M, Segura J, Camí J
Ther Drug Monit 2004 Apr;26(2):137-44. doi: 10.1097/00007691-200404000-00009. PMID: 15228154

Diagnosis

Robson AG, Frishman LJ, Grigg J, Hamilton R, Jeffrey BG, Kondo M, Li S, McCulloch DL
Doc Ophthalmol 2022 Jun;144(3):165-177. Epub 2022 May 5 doi: 10.1007/s10633-022-09872-0. PMID: 35511377Free PMC Article
Ruiz-Barrio I, Guisado-Alonso D, Bulnes-González V, Green BT
BMJ 2022 Mar 31;376:e069133. doi: 10.1136/bmj-2021-069133. PMID: 35361677
Bouffard MA
Continuum (Minneap Minn) 2019 Oct;25(5):1194-1214. doi: 10.1212/CON.0000000000000771. PMID: 31584534
Huff JS, Austin EW
Emerg Med Clin North Am 2016 Nov;34(4):967-986. doi: 10.1016/j.emc.2016.06.016. PMID: 27741997
Cheshire WP Jr
Auton Neurosci 2016 Apr;196:91-104. Epub 2016 Jan 6 doi: 10.1016/j.autneu.2016.01.001. PMID: 26794588

Therapy

Hashemi H, Seyedian MA, Mohammadpour M
Curr Opin Ophthalmol 2015 Jan;26(1):3-9. doi: 10.1097/ICU.0000000000000116. PMID: 25390859
Braksick SA, Wijdicks EF
Pract Neurol 2014 Jun;14(3):187-8. Epub 2013 Nov 12 doi: 10.1136/practneurol-2013-000683. PMID: 24222693
de la Torre R, Farré M, Roset PN, Pizarro N, Abanades S, Segura M, Segura J, Camí J
Ther Drug Monit 2004 Apr;26(2):137-44. doi: 10.1097/00007691-200404000-00009. PMID: 15228154
Guzzo CA, Furtek CI, Porras AG, Chen C, Tipping R, Clineschmidt CM, Sciberras DG, Hsieh JY, Lasseter KC
J Clin Pharmacol 2002 Oct;42(10):1122-33. doi: 10.1177/009127002401382731. PMID: 12362927
Goldberg I, Kolker AE, Kass MA, Becker B
Aust J Ophthalmol 1980 May;8(2):147-50. doi: 10.1111/j.1442-9071.1980.tb01673.x. PMID: 7004425

Prognosis

Yong KL, Beckman TJ, Cranstoun M, Sullivan TJ
Ophthalmic Plast Reconstr Surg 2020 Nov/Dec;36(6):590-595. doi: 10.1097/IOP.0000000000001657. PMID: 32282644
Scanlon PH
Ophthalmic Res 2019;62(4):218-224. Epub 2019 May 27 doi: 10.1159/000499539. PMID: 31132764Free PMC Article
Fitzgerald KT, Bronstein AC
Top Companion Anim Med 2013 Feb;28(1):13-7. doi: 10.1053/j.tcam.2013.03.003. PMID: 23796482
Lau GT, Horowitz BZ
Acad Emerg Med 1996 Feb;3(2):132-6. doi: 10.1111/j.1553-2712.1996.tb03400.x. PMID: 8808373
Von Mühlendahl KE, Krienke EG
Clin Toxicol 1979;14(1):97-106. doi: 10.3109/15563657909030119. PMID: 436387

Clinical prediction guides

Fratta KA, Ginder M, Haggerty DA
J Emerg Med 2023 Oct;65(4):e366-e368. Epub 2023 Jun 20 doi: 10.1016/j.jemermed.2023.06.008. PMID: 37716903
Kaufman AR, Gulati S, Pula JH, Janetos TM, Cherayil NR, Chiu E, Shepherd EA, Golnik KC, Garcia-Valenzuela E, MacIntosh PW, Johnson BT, Curnyn KM
J Neuroophthalmol 2022 Dec 1;42(4):530-534. Epub 2022 Mar 24 doi: 10.1097/WNO.0000000000001567. PMID: 35427257Free PMC Article
Anisimova N, Arbisser L, Tzamalis A, Petrovski BÉ, Shilova N, Petrovski G, Anisimov S, Malyugin B
Semin Ophthalmol 2022 Jan 2;37(1):105-110. Epub 2021 May 29 doi: 10.1080/08820538.2021.1926517. PMID: 34057013
Richards JR, Smith NE, Moulin AK
J Pediatr 2017 Nov;190:142-152. Epub 2017 Sep 6 doi: 10.1016/j.jpeds.2017.07.005. PMID: 28888560
Lau GT, Horowitz BZ
Acad Emerg Med 1996 Feb;3(2):132-6. doi: 10.1111/j.1553-2712.1996.tb03400.x. PMID: 8808373

Recent systematic reviews

Gowda A, Jie WWJ, Casson R, Chan WO
Surv Ophthalmol 2022 Sep-Oct;67(5):1540-1546. Epub 2022 Jun 9 doi: 10.1016/j.survophthal.2022.06.002. PMID: 35691387
Vazquez-Ferreiro P, Carrera-Hueso FJ, Barreiro-Rodriguez L, Diaz-Rey M, Poquet-Jornet JE, Ramón-Barrios MA, Sanjuan-Cerveró R
J Ocul Pharmacol Ther 2017 Dec;33(10):735-742. Epub 2017 Nov 3 doi: 10.1089/jop.2017.0084. PMID: 29099656
Richards JR, Smith NE, Moulin AK
J Pediatr 2017 Nov;190:142-152. Epub 2017 Sep 6 doi: 10.1016/j.jpeds.2017.07.005. PMID: 28888560
Pasquel FJ, Hendrick AM, Ryan M, Cason E, Ali MK, Narayan KM
J Diabetes Sci Technol 2015 Dec 29;10(2):301-7. doi: 10.1177/1932296815624109. PMID: 26719134Free PMC Article
Yanai K, Rogala B, Chugh K, Paraskakis E, Pampura AN, Boev R
Curr Med Res Opin 2012 Apr;28(4):623-42. Epub 2012 Mar 29 doi: 10.1185/03007995.2012.672405. PMID: 22455874

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