Hi All...

Had the chance to read through all these messages. Very nice to find
a group like this.

My background...

First of all, I'm male (I think one of three males in this group),
and I'm from the USA (most of you seem to be from the UK). I was
punched in the eye in a street assault a couple of months ago and
suffered various facial fractures and fractures around the eye
orbital. They let me sit in a crowded hospital with little concern
until I informed a nurse that my vision in my left eye was becoming
more cloudy. At that point, I was told that my pupil was dilated,
and I also had a hyphema (blood in the front chamber of the eye). I
was subsequently given dilation drops and various other eye drops,
which I was required to take for several weeks. Once I stopped
taking the eye drops, I was told that my pupil function would return
back to normal, over a few days, but that never happened.

My opthamologist described the tonic pupil syndrome almost exactly
as I had remembered reading it on the internet (mentioning segmental
paralysis of the iris shpincter) but seemed convinced that the
problem was damage to the iris from the trauma.

I printed some pages from the internet on Tonic Pupil and Adie's
Pupil and brought to my Dr. but this only annoyed him, and he told
me (actually yelled at me) that it's "dangerous to do my own
diagnosis!!!" He then told me that "Adie's" does not result from
trauma. Of course, everything else I've read since then indicates
that trauma is one of the causes, although other articles suggest
that "Adie's" is the term used for a tonic pupil when there's no
other definable cause (such as trauma).

I asked my doc to write me a prescription for Pilocarpine .125%. He
told me that if I wanted to constrict the pupil, I would need 2%
solution. Figuring that a dilute pilocarpine would be the perfect
diagnostic tool for my condition, and encountering so much ego-based
resistance from my opthamlologist, I got the pilocarpine and made my
own dilute formulation (see my next post for details and warnings).

A couple of drops of dilute pilocarpine, and my pupil was smaller
than I had ever seen it and stayed that way for about 5 or 6 hours.
So this seemed to confirm my self-diagnosis.

I've been reading much about the condition and will contribute
relevant info in future posts.

My big question: I'm hearing about people going outdoors, and
experiencing vision problems after exposure to bright light, and I'm
wondering if anybody knows if there is potential of damage to the
retina from unprotected exposure of an Adie's eye to daylight?