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Does a normal-shaped pupil exclude the diagnosis of iritis
  1. Thomas Hunsley, Medical Student1,
  2. Caroline Lee2
  1. Manchester Medical School, Manchester, UK
  2. Midland rotation, UK

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    Report by Thomas Hunsley, Medical Student,Manchester Medical School, Manchester, UKChecked by Caroline Lee, SpR Emergency MedicineMidland rotation, UK

    A short-cut review was carried out to establish whether an abnormal pupil was a highly sensitive marker for acute iritis. A total of 174 citations were reviewed, of which one answered the three-part question. The clinical bottomline is that patients who present with an acute iritis (anterior uveitis) often have no change in pupil size or shape—that is, their pupil is normal compared with their other eye.

    Three-part question

    In [patients with suspected iritis] does [the presence of a normal pupil] exclude …

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