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Old 03-15-2016, 01:44 AM
stillHoping stillHoping is offline
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Join Date: May 2015
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8 yr Member
stillHoping stillHoping is offline
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Join Date: May 2015
Posts: 154
8 yr Member
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Quote:
Originally Posted by JJ33 View Post
Other signs of nerve damage in the eye are pupil disorders...pupils are usually smaller and are slower to dilate and constrict in response to light. Dry eyes go along with the autonomic neuropathy because the signal to the tear glands isn't normal.
The pupil size is controlled by the sympathetic and parasympathetic branches of the autonomic systems.

The pupil light response is controlled mainly by the parasympathetic system. It constricts the pupil in response to light and reduce this constriction in dark. Damage in this pathway reduce the pupil constrictions, so problems in the light response goes together with larger and not smaller pupils. It is called Adie tonic pupil, or Holmes syndrome and it is common in Sjogren Syndrome.
Parasympathetic damage can also cause reduced tearing and dry eyes, or it can affect the accommodation reflex which cause pupils constriction when focusing on a near object.

Damage to the sympathetic pathway can cause Horner Syndrome - small pupils, falling of the upper eyelid, and reduced sweating around the eye.
It can also cause a slower pupils dilation in dark.
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