103 Anisocoria
Veterinary Clinical Podcasts
Dominic Barfield
5 • 643 Ratings
🗓️ 11 October 2019
⏱️ 45 minutes
🧾️ Download transcript
Summary
What a treat we have for you today, joined in the studio by Elsa Beltran one of our fabulous lecturers in small animal neurology and neurosurgery here at the RVC. She talks about approach to anisocoria. You can tell that she is passionate about this subject and knows it inside out. Brian kept the levels right and I kept quiet. We hope that you enjoy.
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Transcript
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| 0:00.0 | Good day. Dominic Barfield here and this is the RVC Clinical Podcast. Thank you for listening and thank you for |
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| 0:15.8 | Obviously a five star review would be great and we'd really appreciate if you could take a couple minutes of your time to leave us a review |
| 0:21.8 | so today joining brian and myself in the studio we're going to talk to elsie beltrane again thank you |
| 0:27.7 | Elsa for joining us i know i did i did say it's been a couple of years but you correctly pointed out |
| 0:31.8 | it's only been a year since you uh you last came onto the podcast but thank you very much |
| 0:36.3 | you're more than welcome. |
| 0:38.5 | And a topic that we thought about doing would be about animals, dogs or cats that are |
| 0:45.6 | presented with Anna Socoria and what should you do? Yeah, that's a very interesting topic in the meaning |
| 0:52.9 | you will have some patients that come to you and you see an unequal pupil size, no, which is defined as anisocoria. And the big question sometimes that we ask ourselves is, oh, should I be worried? It's something that could be something serious or is something that probably it will not be life-threatening. |
| 1:13.6 | So the big question as well, in a very simple way, |
| 1:18.6 | anisocoria can be caused by physiological cause, |
| 1:21.6 | like in people, 20% up to 20% of the people have physiological anisochoria, |
| 1:26.6 | so they have an equal size, |
| 1:28.9 | pupil size and it's nothing to worry about. Or it could be a problem with the innervation to that |
| 1:34.9 | iris, to that muscle iris, and the muscle is innerated by the autonomic system, and we know |
| 1:41.4 | the autonomic system mainly has the parasympathetic and the sympathetic |
| 1:45.0 | innervation. And then another big cause of an isocoria is being heterogenic. You work with |
| 1:51.0 | ophthalmologies or they put an eye drop and suddenly that pupid is very myotic because they give |
| 1:57.0 | a parasympathic omimetic or that pupil is very dilated because they give a sympathetic |
| 2:03.6 | emetic and they haven't told you. So I think that is the first thing that we should be concerned. |
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