Kathy,
I'm not sure where you live, if it might be in a high lyme disease area, but, a dilated pupil can be a sign of neurological lyme. If not treated, lyme is progressive.
Back to Adie's...When you trip, have you noticed if the side with Adie is the cause?
Don't know if the slowed reflexes are the problem.
Also, because of slow focusing, there may be a problem with depth perception. It is usually happens when something is very close.
I was afraid it would cause problems playing sports like baseball or basketball when you have to focus on a moving target. I had a fear that I would get hit in the face when I had a catch with my son. It has not caused a problem though.
Everyone seems to have a different degree of problems because it is a syndrome. Most have a problem with light and headaches. Some don't have a knee or ankle reflex on the Adie side ( Adie's is asymetrical).
Some have strange sweating patterns (my left forarm does not sweat).
Adie's alone means you have a dilated pupil. When you have Adie's Syndrome, it means you have additional signs, lack or absent reflexes, changes in sweating, light sensitivity with possible headaches.
You should not have to take anything for Adie's except pilocarpine drops for the pupil which some people find helpful.
Hope some of this is helpful. Keep researching and continue to ask those docs questions.
ms