Ectopia pupillae

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Ectopia Pupillae is a rare eye disorder characterized by the displacement or misalignment of the pupil from its normal, central position in the eye. This condition can affect one or both eyes and may occur in isolation or as part of a syndrome involving other ocular or systemic abnormalities.

Causes[edit | edit source]

Ectopia Pupillae can result from developmental anomalies during the embryonic stage of eye formation. It may be associated with genetic mutations or inherited as part of a genetic syndrome. In some cases, the exact cause remains unknown.

Symptoms[edit | edit source]

The primary symptom of Ectopia Pupillae is the visible displacement of the pupil, which may be noticeable as a key diagnostic feature. Depending on the severity and direction of displacement, individuals may also experience visual impairment, including blurred vision, double vision, or reduced visual acuity. In some cases, associated conditions such as cataracts, glaucoma, or retinal detachment may contribute to additional symptoms.

Diagnosis[edit | edit source]

Diagnosis of Ectopia Pupillae involves a comprehensive eye examination, including visual acuity tests, slit-lamp examination, and detailed inspection of the iris and pupil. Imaging studies, such as ultrasound or MRI of the eye, may be utilized to assess the extent of displacement and identify any associated ocular abnormalities.

Treatment[edit | edit source]

Treatment for Ectopia Pupillae focuses on managing symptoms and addressing any associated conditions. Corrective lenses or contact lenses may improve visual acuity in cases with mild displacement. Surgical intervention may be considered in severe cases to reposition the pupil or treat coexisting ocular conditions. Regular monitoring by an ophthalmologist is essential to manage the condition effectively and prevent potential complications.

Prognosis[edit | edit source]

The prognosis for individuals with Ectopia Pupillae varies depending on the severity of the displacement and the presence of associated ocular conditions. With appropriate management, many individuals can maintain good visual function.


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Contributors: Prab R. Tumpati, MD