Pupil shapes

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A 55-year-old woman noticed that her right pupil was oddly shaped, associated with a mild ache. Her afferent visual examination, ocular and eyelid motility, and fundi were normal. Her left pupil was round and reactive (figure 1). The right pupil was elongated (points at 11:00 and 5:00) and tonic (figure 2). There was no ocular hypertension or corneal edema. A year later, the pupil shape became triangular; Unique Pupil Shapes, Pupil Shapes, Eye Pupil, Mysterious Man, Failed Attempt, Pointed Ears, Reality Shifting, The Homies, My Oc

A 55-year-old woman noticed that her right pupil was oddly shaped, associated with a mild ache. Her afferent visual examination, ocular and eyelid motility, and fundi were normal. Her left pupil was round and reactive (figure 1). The right pupil was elongated (points at 11:00 and 5:00) and tonic (figure 2). There was no ocular hypertension or corneal edema. A year later, the pupil shape became triangular;

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