{"id":3939,"date":"2020-07-13T20:06:23","date_gmt":"2020-07-13T23:06:23","guid":{"rendered":"http:\/\/clinicamariomonteiro.com.br\/site\/?p=3939"},"modified":"2023-07-12T09:05:30","modified_gmt":"2023-07-12T12:05:30","slug":"aniscoria","status":"publish","type":"post","link":"https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/","title":{"rendered":"Anisocoria"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b\">\n#top .flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n.flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b{\nmargin-top:0px;\nmargin-bottom:0px;\n}\n<\/style>\n<div  class='flex_column av-6ez6tf-3bd3fdea63b8133f7837dee7431a3a7b av_one_full  avia-builder-el-0  el_before_av_one_half  avia-builder-el-first  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcf91zjo-9f73c5b00e875a98660203199f8e7cd0\">\n#top .av-special-heading.av-kcf91zjo-9f73c5b00e875a98660203199f8e7cd0{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kcf91zjo-9f73c5b00e875a98660203199f8e7cd0 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kcf91zjo-9f73c5b00e875a98660203199f8e7cd0 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kcf91zjo-9f73c5b00e875a98660203199f8e7cd0 av-special-heading-h2 blockquote modern-quote  avia-builder-el-1  el_before_av_hr  avia-builder-el-first '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Anisocoria<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kbtmc7wh-532c119224e0a4ac385862389d429780\">\n#top .hr.av-kbtmc7wh-532c119224e0a4ac385862389d429780{\nmargin-top:0;\nmargin-bottom:0;\n}\n.hr.av-kbtmc7wh-532c119224e0a4ac385862389d429780 .hr-inner{\nwidth:100%;\nborder-color:#cccacc;\n}\n<\/style>\n<div  class='hr av-kbtmc7wh-532c119224e0a4ac385862389d429780 hr-custom  avia-builder-el-2  el_after_av_heading  avia-builder-el-last  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n<div class='flex_column_table av-8ry69v-c2726188a652efa39671da8afa721344 sc-av_one_half av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8ry69v-c2726188a652efa39671da8afa721344\">\n#top .flex_column_table.av-equal-height-column-flextable.av-8ry69v-c2726188a652efa39671da8afa721344{\nmargin-top:12px;\nmargin-bottom:0px;\n}\n.flex_column.av-8ry69v-c2726188a652efa39671da8afa721344{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8ry69v-c2726188a652efa39671da8afa721344 av_one_half  avia-builder-el-3  el_after_av_one_full  el_before_av_two_fifth  first flex_column_table_cell av-equal-height-column av-align-top av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-32w9tf-f9079ff082fcd7c869928a136e7bf988 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><div id=\"lipsum\">\n<p>\u00c9 o nome dado quando existe diferen\u00e7a entre o tamanho das pupilas (Figura). Pode ser uma condi\u00e7\u00e3o normal ou decorrente de doen\u00e7as oculares ou de les\u00f5es que acometem os nervos que controlam a contra\u00e7\u00e3o e a dilata\u00e7\u00e3o da pupila.\u00a0 Uma diferen\u00e7a no tamanho da pupila pode ser normal em algumas pessoas (anisocoria fisiol\u00f3gica). Por\u00e9m, se uma diferen\u00e7a maior estiver presente e persistir, deve ser investigada pois pode ter v\u00e1rias causas incluindo doen\u00e7as neurol\u00f3gicas graves e que necessitem tratamento de urg\u00eancia.<\/p>\n<\/div>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4tp1f-ba8c9777f36e841379f738af2044e5ad\">\n#top .av-special-heading.av-4tp1f-ba8c9777f36e841379f738af2044e5ad{\nmargin:25px 0 0 0;\npadding-bottom:10px;\n}\nbody .av-special-heading.av-4tp1f-ba8c9777f36e841379f738af2044e5ad .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-4tp1f-ba8c9777f36e841379f738af2044e5ad .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-4tp1f-ba8c9777f36e841379f738af2044e5ad av-special-heading-h3 blockquote modern-quote  avia-builder-el-5  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Anatomia<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A pupila \u00e9 a por\u00e7\u00e3o central da \u00edris, na verdade um orif\u00edcio na \u00edris que controla a quantidade de luz que entra nos olhos. Em pouca luz, a pupila dilata para deixar entrar mais luz, enquanto que na luz forte, a pupila fica menor (se contrai) para proteger os olhos de muita luz.<\/p>\n<\/div><\/section><\/p><\/div>\n<div class='av-flex-placeholder'><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7an8hf-31938492d26874c208e8869267ef5581\">\n#top .flex_column_table.av-equal-height-column-flextable.av-7an8hf-31938492d26874c208e8869267ef5581{\nmargin-top:12px;\nmargin-bottom:0px;\n}\n.flex_column.av-7an8hf-31938492d26874c208e8869267ef5581{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-7an8hf-31938492d26874c208e8869267ef5581 av_two_fifth  avia-builder-el-7  el_after_av_one_half  el_before_av_one_full  flex_column_table_cell av-equal-height-column av-align-top av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kc0rgk0f-461f3af17c71bee19f7f0a28896f2e5f\">\n.avia-image-container.av-kc0rgk0f-461f3af17c71bee19f7f0a28896f2e5f img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kc0rgk0f-461f3af17c71bee19f7f0a28896f2e5f .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kc0rgk0f-461f3af17c71bee19f7f0a28896f2e5f av-styling- avia-align-center  avia-builder-el-8  el_before_av_textblock  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-3944 avia-img-lazy-loading-not-3944 avia_image ' src=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1.jpeg\" alt='Anisocoria figura 1' title='aniscoria_figura1'  height=\"644\" width=\"1175\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1.jpeg 1175w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1-300x164.jpeg 300w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1-1030x565.jpeg 1030w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1-768x421.jpeg 768w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/aniscoria_figura1-705x386.jpeg 705w\" sizes=\"(max-width: 1175px) 100vw, 1175px\" \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kcl25q1i-a7c524240ceb066f3dd1fd18a678d7ba '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\">Figura 1<\/p>\n<\/div><\/section><\/p><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n<div class='flex_column_table av-8ry69v-c2726188a652efa39671da8afa721344 sc-av_one_full av-equal-height-column-flextable'>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8ry69v-c2726188a652efa39671da8afa721344\">\n#top .flex_column_table.av-equal-height-column-flextable.av-8ry69v-c2726188a652efa39671da8afa721344{\nmargin-top:12px;\nmargin-bottom:0px;\n}\n.flex_column.av-8ry69v-c2726188a652efa39671da8afa721344{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-8ry69v-c2726188a652efa39671da8afa721344 av_one_full  avia-builder-el-10  el_after_av_two_fifth  el_before_av_one_full  first flex_column_table_cell av-equal-height-column av-align-top av-zero-column-padding  '     ><section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>O tamanho da pupila \u00e9 controlado por m\u00fasculos na \u00edris &#8211; os m\u00fasculos dilatador e constritor da \u00edris. Os m\u00fasculos s\u00e3o controlados por nervos oculomotor e pelo nervo simp\u00e1tico ocular. Les\u00f5es nesses nervos fazem com que o tamanho da pupila seja anormal. Uma les\u00e3o no nervo que produz midr\u00edase (simp\u00e1tico ocular) faz com que ela se torne pequena. Um problema com o nervo que normalmente contrai a pupila (nervo oculomotor), produz uma pupila anormalmente grande. Problemas nos m\u00fasculos irianos ou processos inflamat\u00f3rios oculares tamb\u00e9m podem causar anisocoria assim como o uso de drogas que interfiram na dilata\u00e7\u00e3o ou constri\u00e7\u00e3o da pupila.<\/p>\n<\/div><\/section><\/div><\/div><!--close column table wrapper. Autoclose: 1 -->\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_full  avia-builder-el-12  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-478956fea763e4b3275d917ec85a95dc\">\n#top .av-special-heading.av-av_heading-478956fea763e4b3275d917ec85a95dc{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-478956fea763e4b3275d917ec85a95dc .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-478956fea763e4b3275d917ec85a95dc .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-478956fea763e4b3275d917ec85a95dc av-special-heading-h3 blockquote modern-quote  avia-builder-el-13  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Semiologia<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Frente a anisocoria devemos realizar um exame cuidadoso detalhando em especial:<\/p>\n<ul>\n<li>Uma anamnese cuidadosa, exame da fun\u00e7\u00e3o visual, um exame biomicrosc\u00f3pico detalhado e um exame cuidadoso da motilidade ocular<\/li>\n<li>O di\u00e2metro pupilar em diferentes n\u00edveis de ilumina\u00e7\u00e3o<\/li>\n<li>As rea\u00e7\u00f5es pupilares \u00e0 luz e a resposta pupilar ao est\u00edmulo olhar para perto (sincinesia acomoda\u00e7\u00e3o-converg\u00eancia)<\/li>\n<li>A resposta pupilar a testes com alguns medicamentos t\u00f3picos<\/li>\n<\/ul>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-e23e2e306d0738f84ec3392b7deb4b0e\">\n#top .av-special-heading.av-av_heading-e23e2e306d0738f84ec3392b7deb4b0e{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-av_heading-e23e2e306d0738f84ec3392b7deb4b0e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-av_heading-e23e2e306d0738f84ec3392b7deb4b0e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-e23e2e306d0738f84ec3392b7deb4b0e av-special-heading-h3 blockquote modern-quote  avia-builder-el-15  el_after_av_textblock  el_before_av_textblock '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Caracter\u00edsticas cl\u00ednicas da Anisocoria <\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><ol>\n<li>A anisocoria patol\u00f3gica geralmente \u00e9 maior e a fisiol\u00f3gica menor que 0,5mm;<\/li>\n<li>A anisocoria fisiol\u00f3gica se mant\u00e9m proporcionalmente sob diferentes n\u00edveis de ilumina\u00e7\u00e3o;<\/li>\n<li>Anisocoria que se acentua no claro usualmente indica que a pupila maior \u00e9 a patol\u00f3gica (ex. pupila t\u00f4nica, midrise farmacol\u00f3gica, paralisia oculomotora, les\u00f5es do m\u00fasculo constrictor iriano);<\/li>\n<li>Anisocoria mais acentuada no escuro geralmente indica que a pupila menor \u00e9 a acometida (por exemplo na s\u00edndrome de Horner;<\/li>\n<li>Constri\u00e7\u00e3o lenta ou segmentar da pupila pode ser encontrada na pupila t\u00f4nica de Adie;<\/li>\n<li>A dissocia\u00e7\u00e3o luz-perto pode ocorrer na pupila t\u00f4nica de Adie, onde o reflexo pupilar est\u00e1 presente para perto por\u00e9m reduzido ao est\u00edmulo luminoso;<\/li>\n<li>A acomoda\u00e7\u00e3o est\u00e1 comprometida na paralisia oculomotora e da pupila t\u00f4nica;<\/li>\n<li>Ocorre redu\u00e7\u00e3o na acomoda\u00e7\u00e3o na paralisia oculomotora e na pupila t\u00f4nica de Adie;<\/li>\n<li>Existe ptose leve (1 a 2mm) na S\u00edndrome de Horner e na paralisia de III par craniano;<\/li>\n<li>A sudorese pode estar comprometida na face do lado da les\u00e3o na s\u00edndrome de Horner;<\/li>\n<li>Altera\u00e7\u00f5es da motilidade ocular extr\u00ednseca est\u00e3o presentes na paralisia do III par;<\/li>\n<li>Sin\u00e9quias irianas posteriores que podem ser relacionadas a uve\u00edte pr\u00e9via e podem ser causa de anisocoria;<\/li>\n<li>A heterocromia de iris pode estar presente na S\u00edndrome de Horner cong\u00eanita;<\/li>\n<li>Reflexos tendinosos profundos podem estar reduzidos na pupila t\u00f4nica de Adie.<\/li>\n<\/ol>\n<\/div><\/section><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_full  avia-builder-el-17  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ayqh43-85c5de98feb6a555a81a1e15f0f7e371\">\n#top .av-special-heading.av-ayqh43-85c5de98feb6a555a81a1e15f0f7e371{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-ayqh43-85c5de98feb6a555a81a1e15f0f7e371 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-ayqh43-85c5de98feb6a555a81a1e15f0f7e371 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-ayqh43-85c5de98feb6a555a81a1e15f0f7e371 av-special-heading-h3 blockquote modern-quote  avia-builder-el-18  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Quais as causas<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Diversas condi\u00e7\u00f5es podem estar associadas a anisocoria, tais como:<\/p>\n<ul>\n<li><a href=\"#fisiologica\">Varia\u00e7\u00e3o da normalidade, na anisocoria fisiol\u00f3gica;<\/a><\/li>\n<li><a href=\"#horner\">S\u00edndrome de Horner;<\/a><\/li>\n<li><a href=\"#adie\">Pupila T\u00f4nica de Adie;<\/a><\/li>\n<li><a href=\"#oculomotor\">Paralisia do nervo oculomotor (III par craniano);<\/a><\/li>\n<li><a href=\"#medicamentos\">Uso de col\u00edrios que afetam os m\u00fasculos irianos (midri\u00e1ticos ou mi\u00f3ticos);<\/a><\/li>\n<li>Traumatismo iriano e processos inflamat\u00f3rios do segmento anterior do olho como uve\u00edte (irite, iridociclite).<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-7e7e1edcba345d339ff206bb20fe7082\">\n#top .flex_column.av-23tuab-7e7e1edcba345d339ff206bb20fe7082{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-7e7e1edcba345d339ff206bb20fe7082{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-7e7e1edcba345d339ff206bb20fe7082{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"fisiologica\"  class='flex_column av-23tuab-7e7e1edcba345d339ff206bb20fe7082 av_one_full  avia-builder-el-20  el_after_av_one_full  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl2jv0v-21a7c224099f0dc6b872e15d8e3b6950\">\n#top .av-special-heading.av-kcl2jv0v-21a7c224099f0dc6b872e15d8e3b6950{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kcl2jv0v-21a7c224099f0dc6b872e15d8e3b6950 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kcl2jv0v-21a7c224099f0dc6b872e15d8e3b6950 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kcl2jv0v-21a7c224099f0dc6b872e15d8e3b6950 av-special-heading-h3 blockquote modern-quote  avia-builder-el-21  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >1 &#8211; Anisocoria fisiol\u00f3gica <\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A anisocoria fisiol\u00f3gica est\u00e1 presente em uma parcela da popula\u00e7\u00e3o normal (Figura 1). Pode ser causa de grande confus\u00e3o diagn\u00f3stica quando \u00e9 percebida associada a outros sintomas que possam sugerir doen\u00e7a neurol\u00f3gica. Em especial pode ser confundida com s\u00edndrome de Horner quando existe algum grau de ptose senil ou por outra etiologia associada a anisocoria que n\u00e3o tinha sido percebida anteriormente. Deve ser suspeitada baseada nas seguintes considera\u00e7\u00f5es:<\/p>\n<ul>\n<li>Anisocoria que se mant\u00e9m proporcional em diferentes n\u00edveis de ilumina\u00e7\u00e3o<\/li>\n<li>Pupilas apresentam rea\u00e7\u00f5es normais<\/li>\n<li>Na maioria dos casos a diferen\u00e7a \u00e9 pequena, de at\u00e9 0,6 mm entre as pupilas<\/li>\n<li>\u00c9 relativamente frequente. Na obscuridade quase 20% da popula\u00e7\u00e3o tem diferen\u00e7a de at\u00e9 0,4 mm. No claro e esta porcentagem cai para em torno de 10%<\/li>\n<li>A diferen\u00e7a pupilar pode variar de um dia para o outro<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44\">\n#top .flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"horner\"  class='flex_column av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44 av_one_full  avia-builder-el-23  el_after_av_one_full  el_before_av_one_half  first flex_column_div av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl2k55j-e76b803edd7352934e1c53ef4c81eb45\">\n#top .av-special-heading.av-kcl2k55j-e76b803edd7352934e1c53ef4c81eb45{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kcl2k55j-e76b803edd7352934e1c53ef4c81eb45 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kcl2k55j-e76b803edd7352934e1c53ef4c81eb45 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kcl2k55j-e76b803edd7352934e1c53ef4c81eb45 av-special-heading-h3 blockquote modern-quote  avia-builder-el-24  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >2 &#8211; S\u00edndrome de Horner<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_half  avia-builder-el-25  el_after_av_one_full  el_before_av_two_fifth  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-93qs4j-66f3d5829499e872807b985927218901\">\n#top .av-special-heading.av-93qs4j-66f3d5829499e872807b985927218901{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-93qs4j-66f3d5829499e872807b985927218901 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-93qs4j-66f3d5829499e872807b985927218901 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-93qs4j-66f3d5829499e872807b985927218901 av-special-heading-h4 blockquote modern-quote  avia-builder-el-26  el_before_av_textblock  avia-builder-el-first '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Caracter\u00edsticas<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A s\u00edndrome de Horner se caracteriza por (Figura 2): ptose discreta, anisocoria sendo a pupila menor aquela no olho da ptose e pseudo-enoftalmo. Heterocromia da \u00edris (diferen\u00e7a de cor entre os dois olhos) e anidrose facial podem tamb\u00e9m estar presentes em alguns casos. Os casos de s\u00edndrome de Horner aguda podem ter olho vermelho, lacrimejamento e dor.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-f46a577dd5b36841ab1bf705ea48708d\">\n#top .flex_column.av-23tuab-f46a577dd5b36841ab1bf705ea48708d{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-f46a577dd5b36841ab1bf705ea48708d{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-f46a577dd5b36841ab1bf705ea48708d{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-f46a577dd5b36841ab1bf705ea48708d av_two_fifth  avia-builder-el-28  el_after_av_one_half  el_before_av_one_full  flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl1v6zj-a69c5e75feb190af875c319021765cfe\">\n.avia-image-container.av-kcl1v6zj-a69c5e75feb190af875c319021765cfe img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kcl1v6zj-a69c5e75feb190af875c319021765cfe .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kcl1v6zj-a69c5e75feb190af875c319021765cfe av-styling- avia-align-center  avia-builder-el-29  el_before_av_textblock  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-3947 avia-img-lazy-loading-not-3947 avia_image ' src=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/sindrome_horner_figura2.jpeg\" alt='Anisocoria - Sindrome de Horner' title='sindrome_horner_figura2'  height=\"453\" width=\"950\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/sindrome_horner_figura2.jpeg 950w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/sindrome_horner_figura2-300x143.jpeg 300w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/sindrome_horner_figura2-768x366.jpeg 768w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/sindrome_horner_figura2-705x336.jpeg 705w\" sizes=\"(max-width: 950px) 100vw, 950px\" \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kcl27l79-52f8550e635fc4d47a23eae58c7b351e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\">Figura 2<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_full  avia-builder-el-31  el_after_av_two_fifth  el_before_av_one_full  first flex_column_div av-zero-column-padding  '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6vg9hf-bf4560a9fdd6d83e074b483d7f13aa49\">\n#top .av-special-heading.av-6vg9hf-bf4560a9fdd6d83e074b483d7f13aa49{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-6vg9hf-bf4560a9fdd6d83e074b483d7f13aa49 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-6vg9hf-bf4560a9fdd6d83e074b483d7f13aa49 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-6vg9hf-bf4560a9fdd6d83e074b483d7f13aa49 av-special-heading-h4 blockquote modern-quote  avia-builder-el-32  el_before_av_textblock  avia-builder-el-first '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Localiza\u00e7\u00e3o<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A s\u00edndrome de Horner \u00e9 uma disfun\u00e7\u00e3o da inerva\u00e7\u00e3o simp\u00e1tica da pupila e pode ser causada por diversas afec\u00e7\u00f5es, variando conforme o local da les\u00e3o primeiro neur\u00f4nio (ex: acidente vascular cerebral, esclerose m\u00faltipla), segundo neur\u00f4nio (ex: carcinoma pulmonar, met\u00e1stase, neuroblastoma, linfoma) ou terceiro neur\u00f4nio (ex: cefal\u00e9ia em salvas, dissec\u00e7\u00e3o de car\u00f3tida interna, s\u00edndrome de Tolosa-Hunt). Quando a s\u00edndrome de Horner \u00e9 associada a dor ipsilateral \u00e0 les\u00e3o, pode ser denominada s\u00edndrome de Raeder que deve levar a investiga\u00e7\u00e3o de les\u00f5es paratrigeminais intracranianas ou mesmo doen\u00e7as da car\u00f3tida particularmente a dissec\u00e7\u00e3o de car\u00f3tida ou mesmo e mais raramente doen\u00e7a ateroscler\u00f3tica grave da art\u00e9ria<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3337201\">\u00b9<\/a>.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5fsp1f-60a3de10c33787383b773c5e7d822a5f\">\n#top .av-special-heading.av-5fsp1f-60a3de10c33787383b773c5e7d822a5f{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-5fsp1f-60a3de10c33787383b773c5e7d822a5f .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-5fsp1f-60a3de10c33787383b773c5e7d822a5f .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-5fsp1f-60a3de10c33787383b773c5e7d822a5f av-special-heading-h4 blockquote modern-quote  avia-builder-el-34  el_after_av_textblock  el_before_av_textblock '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Sintomas \/ Sinais Associados<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A s\u00edndrome de Horner pode ocorrer isoladamente ou em associa\u00e7\u00e3o com outros sinais e sintomas: evid\u00eancias de envolvimento do tronco encef\u00e1lico e coluna espinhal sugerem acometimento do neur\u00f4nio central (1\u00ba neur\u00f4nio); hist\u00f3ria de trauma ou cirurgia de pesco\u00e7o ou t\u00f3rax superior apontam para afec\u00e7\u00e3o do neur\u00f4nio pr\u00e9-ganglionar (2\u00ba neur\u00f4nio); Horner agudo com dor facial ipsilateral pode indicar dissec\u00e7\u00e3o da art\u00e9ria car\u00f3tida interna; envolvimento de outros nervos oculares motores ipsilaterais sugere envolvimento do seio cavernoso.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h4>Etiologia<\/h4>\n<ul>\n<li>Idiop\u00e1tica<\/li>\n<li>Les\u00f5es do 1\u00ba neur\u00f4nio: acidente vascular cerebral, trauma cr\u00e2nio-encef\u00e1lico, tumor, esclerose m\u00faltipla, osteoartrose de coluna<\/li>\n<li>Les\u00f5es do 2\u00ba neur\u00f4nio:\u00a0 tumor de Pancoast, c\u00e2ncer pulmonar, tumores cervicais, cirurgia ou trauma tor\u00e1cico ou cervical, neuroblastoma<\/li>\n<li>Les\u00f5es do 3\u00ba neur\u00f4nio: cefal\u00e9ia em salvas, enxaqueca, dissec\u00e7\u00e3o da art\u00e9ria car\u00f3tida interna, herpes zoster, s\u00edndromes do seio cavernoso, TCE<\/li>\n<li>Horner cong\u00eanito: trauma de parto<\/li>\n<\/ul>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-3ph95f-18e43079611e8e6f6d991e2acccef700\">\n#top .av-special-heading.av-3ph95f-18e43079611e8e6f6d991e2acccef700{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-3ph95f-18e43079611e8e6f6d991e2acccef700 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-3ph95f-18e43079611e8e6f6d991e2acccef700 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-3ph95f-18e43079611e8e6f6d991e2acccef700 av-special-heading-h4 blockquote modern-quote  avia-builder-el-37  el_after_av_textblock  el_before_av_textblock '><h4 class='av-special-heading-tag '  itemprop=\"headline\"  >Diagn\u00f3stico<\/h4><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>O diagn\u00f3stico \u00e9 baseado nas altera\u00e7\u00f5es cl\u00ednicas e confirmado com o teste do colirio de coca\u00edna a 5%, onde a pupila normal dilata e a acometida. O teste do colirio de hidroxianfetamina a 1% ajuda a diferenciar les\u00f5es pr\u00e9-ganglionares (primeiro ou segundo neur\u00f4nio), onde a pupila afetada dilata, das p\u00f3s-ganglionares (terceiro neur\u00f4nio) onde a pupila afetada n\u00e3o dilata.<\/p>\n<p>O diagn\u00f3stico \u00e9 extremamente importante pois a s\u00edndrome de Horner pode ser causada por condi\u00e7\u00f5es graves acima listadas. No caso da dissec\u00e7\u00e3o de car\u00f3tida pode ser uma emerg\u00eancia m\u00e9dica.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-763b52fd929a4d81fd42fb9bb1734e29\">\n#top .flex_column.av-23tuab-763b52fd929a4d81fd42fb9bb1734e29{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-763b52fd929a4d81fd42fb9bb1734e29{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-763b52fd929a4d81fd42fb9bb1734e29{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"adie\"  class='flex_column av-23tuab-763b52fd929a4d81fd42fb9bb1734e29 av_one_full  avia-builder-el-39  el_after_av_one_full  el_before_av_one_half  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl2k55j-69a270f1363d69ea7323d478a11a0334\">\n#top .av-special-heading.av-kcl2k55j-69a270f1363d69ea7323d478a11a0334{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kcl2k55j-69a270f1363d69ea7323d478a11a0334 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kcl2k55j-69a270f1363d69ea7323d478a11a0334 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kcl2k55j-69a270f1363d69ea7323d478a11a0334 av-special-heading-h3 blockquote modern-quote  avia-builder-el-40  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >3 &#8211; Pupila t\u00f4nica de Adie<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>A pupila t\u00f4nica de Adie \u00e9 uma disfun\u00e7\u00e3o parassimp\u00e1tica da pupila, que geralmente afeta mulheres jovens de forma unilateral. Sua etiologia geralmente \u00e9 idiop\u00e1tica, quando usamos o termo pupila t\u00f4nica de Adie. No entanto, a pupila t\u00f4nica de Adie pode estar associada a disautonomias incluindo s\u00edndromes de Riley Day, Shy Drager, Ross e hemicrania<a href=\"https:\/\/www.scielo.br\/scielo.php?script=sci_arttext&amp;pid=S0004-282X2008000300031\">\u00b2<\/a>. A pupila t\u00f4nica pode tamb\u00e9m ser decorrente de trauma orbit\u00e1rio (les\u00e3o de g\u00e2nglio ciliar), diabetes, infec\u00e7\u00f5es (herpes zoster e outras viroses), arterite temporal, s\u00edfilis e mesmo condi\u00e7\u00f5es raras como a Doen\u00e7a de Lyme<a href=\"https:\/\/www.scielo.br\/scielo.php?pid=S0004-27492005000300020&amp;script=sci_arttext\">\u00b3<\/a>. O diagn\u00f3stico \u00e9 baseado nas altera\u00e7\u00f5es cl\u00ednicas e confirmado pelo teste com colirio de pilocarpina a 0,1%, onde, ap\u00f3s 10 a 20 minutos, a pupila t\u00f4nica contrai mais que a normal (hipersensibilidade desinervacional).<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44\">\n#top .flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"horner\"  class='flex_column av-23tuab-8a4b8c832ccf344b6e611cd3c035ad44 av_one_half  avia-builder-el-42  el_after_av_one_full  el_before_av_one_half  first flex_column_div av-zero-column-padding  column-top-margin'     ><section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>As principais caracter\u00edsticas cl\u00ednicas s\u00e3o: 1. A pupila acometida encontra-se geralmente dilatada; 2. Constri\u00e7\u00e3o minima (ou ausente), lenta e segmentar da pupila ao est\u00edmulo luminoso; 3. Pode haver movimentos vermiformes da iris ao exame biomicrosc\u00f3pico; 4; Contra\u00e7\u00e3o lenta ao est\u00edmulo de converg\u00eancia; a redilata\u00e7\u00e3o no olhar para longe tamb\u00e9m \u00e9 lenta; 5. A dissocia\u00e7\u00e3o luz-perto geralmente ocorre e pode ser acentuada sendo a resposta ao est\u00edmulo luminoso menor do que aquela ao est\u00edmulo para perto (Figura 3);<\/p>\n<p>Um olho com pupila t\u00f4nica de Adie tem, inicialmente, dificuldade em focar em objetos pr\u00f3ximos, como ler um livro, por exemplo. Pode acometer um ou ambos os olhos. Na s\u00edndrome de Adie existe uma combina\u00e7\u00e3o de pupilas t\u00f4nicas e reflexos reduzidos, tais como o reflexo patelar. A sua causa \u00e9 desconhecida. Com o tempo, a habilidade para focar em objetos pr\u00f3ximos normalmente volta. A pupila de Adie pode continuar midri\u00e1tica mas muitas vezes se reduz em tamanho gradualmente durante os anos, tornando-se at\u00e9 \u00e0s vezes at\u00e9 menor que a pupila normal do outro olho. O diagn\u00f3stico \u00e9 importante que voc\u00ea ser lembrada em exames m\u00e9dicos futuros para n\u00e3o causar confus\u00e3o diagn\u00f3stica.<\/p>\n<\/div><\/section><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-6deb467a4c958aa589bf731c4a00147a\">\n#top .flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"horner\"  class='flex_column av-23tuab-6deb467a4c958aa589bf731c4a00147a av_one_half  avia-builder-el-44  el_after_av_one_half  el_before_av_one_full  flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl1v6zj-fc957a68165e60f0cad91b2cbebf5967\">\n.avia-image-container.av-kcl1v6zj-fc957a68165e60f0cad91b2cbebf5967 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kcl1v6zj-fc957a68165e60f0cad91b2cbebf5967 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kcl1v6zj-fc957a68165e60f0cad91b2cbebf5967 av-styling- avia-align-center  avia-builder-el-45  el_before_av_textblock  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-3946 avia-img-lazy-loading-not-3946 avia_image ' src=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/pupilatonicaAdie_figura3.jpeg\" alt='Anisocoria Pupila t\u00f4nica de Adie' title='pupilatonicaAdie_figura3'  height=\"656\" width=\"964\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/pupilatonicaAdie_figura3.jpeg 964w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/pupilatonicaAdie_figura3-300x204.jpeg 300w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/pupilatonicaAdie_figura3-768x523.jpeg 768w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/pupilatonicaAdie_figura3-705x480.jpeg 705w\" sizes=\"(max-width: 964px) 100vw, 964px\" \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kcl27l79-52f8550e635fc4d47a23eae58c7b351e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\">Figura 3<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-958117fbfea726fc98f9cb3fd46033bd\">\n#top .flex_column.av-23tuab-958117fbfea726fc98f9cb3fd46033bd{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-958117fbfea726fc98f9cb3fd46033bd{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-958117fbfea726fc98f9cb3fd46033bd{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"oculomotor\"  class='flex_column av-23tuab-958117fbfea726fc98f9cb3fd46033bd av_one_full  avia-builder-el-47  el_after_av_one_half  el_before_av_one_half  first flex_column_div av-zero-column-padding  column-top-margin'     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl3i1n1-b5f1948aee8babff61b303a89c41c97a\">\n#top .av-special-heading.av-kcl3i1n1-b5f1948aee8babff61b303a89c41c97a{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kcl3i1n1-b5f1948aee8babff61b303a89c41c97a .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kcl3i1n1-b5f1948aee8babff61b303a89c41c97a .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kcl3i1n1-b5f1948aee8babff61b303a89c41c97a av-special-heading-h3 blockquote modern-quote  avia-builder-el-48  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >4 &#8211; Anisocoria na paralisia oculomotora<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-683166cf6e154c6f3183ddd3f10d0abf\">\n#top .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-683166cf6e154c6f3183ddd3f10d0abf{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  class='flex_column av-23tuab-683166cf6e154c6f3183ddd3f10d0abf av_one_half  avia-builder-el-49  el_after_av_one_full  el_before_av_one_half  first flex_column_div av-zero-column-padding  column-top-margin'     ><p><section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Anisocoria pode tamb\u00e9m se decorrente de paralisia oculomotora, embora nem todas as paralisias oculomotoras acometam a pupila. Essa observa\u00e7\u00e3o \u00e9 importante uma vez que entre as causas de anisocoria por paralisia oculomotora se incluem os aneurismas (especialmente da art\u00e9ria comunicante posterior), os tumores, trauma, doen\u00e7as orbit\u00e1rias, herpes zoster e menos frequentemente a hipertens\u00e3o arterial sist\u00eamica e diabetes.<\/p>\n<p>O nervo que vai at\u00e9 o m\u00fasculo constritor \u00e9 parte do terceiro nervo craniano (oculomotor). O terceiro nervo craniano controla tamb\u00e9m diversos m\u00fasculos que movem os olhos. Ele\u00a0tamb\u00e9m controla o m\u00fasculo que abre a p\u00e1lpebra e o m\u00fasculo que contrai a pupila. O problema com o terceiro nervo pode resultar em uma p\u00e1lpebra ca\u00edda, vis\u00e3o dupla e\/ou um aumento da pupila.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Portanto, nos casos de anisocoria decorrente de paralisia oculomotora (na qual a pupila midri\u00e1tica \u00e9 a acometida), e existem associados sinais de queda da p\u00e1lpebra e enfraquecimento de m\u00fasculos dos olhos pode sinalizar um aneurisma e \u00e9 uma emerg\u00eancia m\u00e9dica. Nesses casos, o paciente deve realizar imediatamente um exame de neuro imagem (tomografia, resson\u00e2ncia magn\u00e9tica, angiografia por resson\u00e2ncia magn\u00e9tica ou por tomografia, arteriografia) para verificar se existe um aneurisma.<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-6deb467a4c958aa589bf731c4a00147a\">\n#top .flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-6deb467a4c958aa589bf731c4a00147a{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"horner\"  class='flex_column av-23tuab-6deb467a4c958aa589bf731c4a00147a av_one_half  avia-builder-el-52  el_after_av_one_half  el_before_av_one_full  flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kcl1v6zj-9c0146219e6821b0d15b3e38c5908a94\">\n.avia-image-container.av-kcl1v6zj-9c0146219e6821b0d15b3e38c5908a94 img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-kcl1v6zj-9c0146219e6821b0d15b3e38c5908a94 .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-kcl1v6zj-9c0146219e6821b0d15b3e38c5908a94 av-styling- avia-align-center  avia-builder-el-53  el_before_av_textblock  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" fetchpriority=\"high\" class='wp-image-3945 avia-img-lazy-loading-not-3945 avia_image ' src=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/paralisiaoculomotora_figura4.jpeg\" alt='Anisocoria - Paralisia Oculomotora' title='paralisiaoculomotora_figura4'  height=\"213\" width=\"410\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/paralisiaoculomotora_figura4.jpeg 410w, https:\/\/clinicamariomonteiro.com.br\/site\/wp-content\/uploads\/2020\/07\/paralisiaoculomotora_figura4-300x156.jpeg 300w\" sizes=\"(max-width: 410px) 100vw, 410px\" \/><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kcl27l79-52f8550e635fc4d47a23eae58c7b351e '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: center;\">Figura 4<\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-23tuab-e5c37de4fffdc04bc265a101769fc01c\">\n#top .flex_column.av-23tuab-e5c37de4fffdc04bc265a101769fc01c{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n.flex_column.av-23tuab-e5c37de4fffdc04bc265a101769fc01c{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n.responsive #top #wrap_all .flex_column.av-23tuab-e5c37de4fffdc04bc265a101769fc01c{\nmargin-top:15px;\nmargin-bottom:10px;\n}\n<\/style>\n<div  id=\"medicamentos\"  class='flex_column av-23tuab-e5c37de4fffdc04bc265a101769fc01c av_one_full  avia-builder-el-55  el_after_av_one_half  el_before_av_one_full  first flex_column_div av-zero-column-padding  column-top-margin'     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-865gj-ff593cb1cf7ddffb21f5023491381af6\">\n#top .av-special-heading.av-865gj-ff593cb1cf7ddffb21f5023491381af6{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-865gj-ff593cb1cf7ddffb21f5023491381af6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-865gj-ff593cb1cf7ddffb21f5023491381af6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-865gj-ff593cb1cf7ddffb21f5023491381af6 av-special-heading-h3 blockquote modern-quote  avia-builder-el-56  el_before_av_textblock  avia-builder-el-first '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >5 &#8211; Anisocoria por uso de medicamentos ou por les\u00f5es oculares<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kbtmaahr-935ca9d57b20d0de3c8d7022d73d810f '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Anisocoria pode tamb\u00e9m se decorrente de uso de col\u00edrios ou mesmo substancias incluindo produtos qu\u00edmicos que tenham efeito atropinico levando a paralisia do m\u00fasculo constritor da pupila. Outras drogas t\u00eam efeito mi\u00f3tico e podem tamb\u00e9m levar a anisocoria. Exemplos incluem rem\u00e9dios para n\u00e1useas, produtos qu\u00edmicos usados em jardinagem e alguns tipos de col\u00edrios. O paciente normalmente n\u00e3o percebe que o produto que tocou causou o problema, mas um questionamento cuidadoso feito pelo m\u00e9dico pode revelar a causa. A pupila que \u00e9 quimicamente dilatada voltar\u00e1 ao tamanho normal assim que a subst\u00e2ncia qu\u00edmica acabar e, no final ir\u00e1 reagir normalmente \u00e0 luz. Dependendo do qu\u00edmico espec\u00edfico, isso pode levar horas ou dias.<\/p>\n<p>Causas oculares de anisocoria tamb\u00e9m devem ser lembradas como traumatismos nos m\u00fasculos irianos, processos inflamat\u00f3rios como uve\u00edte anterior e mesmo causas mais raras como corpos estranhos intraoculares pequenos e retidos que causem uma forma limitada de siderose ocular que descrevemos em duas publica\u00e7\u00f5es com o nome de \u201ciron mydriasis\u201d<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/6731551\">\u2074<\/a><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8113437\">\u2075<\/a><\/p>\n<\/div><\/section><\/p><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-33rs2r-c93d4393af5436c2a2cb836092cddd72\">\n.flex_column.av-33rs2r-c93d4393af5436c2a2cb836092cddd72{\nborder-radius:0px 0px 0px 0px;\npadding:0px 0px 0px 0px;\n}\n<\/style>\n<div  class='flex_column av-33rs2r-c93d4393af5436c2a2cb836092cddd72 av_one_full  avia-builder-el-58  el_after_av_one_full  avia-builder-el-last  first flex_column_div av-zero-column-padding  column-top-margin'     ><div  class='av-social-sharing-box av-kbv2qj7o-08b4e75ae03fda5eccfd0544f00b0dba av-social-sharing-box-default  avia-builder-el-59  avia-builder-el-no-sibling  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Compartilhe<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/&#038;t=Anisocoria' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on Facebook'><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-whatsapp avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on WhatsApp\" href='https:\/\/api.whatsapp.com\/send?text=https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/' data-av_icon='\uf232' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on WhatsApp'><span class='avia_hidden_link_text'>Share on WhatsApp<\/span><\/a><\/li><li class='av-share-link av-social-link-linkedin avia_social_iconfont' ><a target=\"_blank\" aria-label=\"Share on LinkedIn\" href='https:\/\/linkedin.com\/shareArticle?mini=true&#038;title=Anisocoria&#038;url=https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/' data-av_icon='\ue8fc' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share on LinkedIn'><span class='avia_hidden_link_text'>Share on LinkedIn<\/span><\/a><\/li><li class='av-share-link av-social-link-mail avia_social_iconfont' ><a  aria-label=\"Share by Mail\" href='mailto:?subject=Anisocoria&#038;body=https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/' data-av_icon='\ue805' data-av_iconfont='entypo-fontello'  title='' data-avia-related-tooltip='Share by Mail'><span class='avia_hidden_link_text'>Share by Mail<\/span><\/a><\/li><\/ul><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9 o nome dado quando existe diferen\u00e7a entre o tamanho das pupilas). Pode ser uma condi\u00e7\u00e3o normal ou decorrente de doen\u00e7as oculares ou de les\u00f5es que acometem os nervos que controlam a contra\u00e7\u00e3o e a dilata\u00e7\u00e3o da pupila.\u00a0 Uma diferen\u00e7a no tamanho da pupila pode ser normal em algumas pessoas (anisocoria fisiol\u00f3gica). Por\u00e9m, se uma diferen\u00e7a maior estiver presente e persistir, deve ser investigada pois pode ter v\u00e1rias causas incluindo doen\u00e7as neurol\u00f3gicas graves e que necessitem tratamento de urg\u00eancia.<\/p>\n","protected":false},"author":3,"featured_media":3946,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[39],"tags":[38,37],"class_list":["post-3939","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anisocoria","tag-disco-optico","tag-edema-de-papila"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Aniscoria - Caracter\u00edsticas, Causas e Diagn\u00f3sticos - Cl\u00ednica M\u00e1rio Monteiro<\/title>\n<meta name=\"description\" content=\"Aniscoria \u00e9 quando existe diferen\u00e7a entre o tamanho das pupilas. Pode ser decorrente de doen\u00e7as ou les\u00f5es que acometem os nervos que controlam a pupila.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/clinicamariomonteiro.com.br\/site\/aniscoria\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aniscoria - Caracter\u00edsticas, Causas e Diagn\u00f3sticos - Cl\u00ednica M\u00e1rio Monteiro\" \/>\n<meta property=\"og:description\" content=\"Aniscoria \u00e9 quando existe diferen\u00e7a entre o tamanho das pupilas. 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