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A 19-month-old girl with nystagmus, paradoxical pupillary response and low vision
Digital Journal of Ophthalmology 2008
Volume 14, Number 6
February 25, 2008
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Sandra Rocio Montezuma, M.D. | Massachusetts Eye and Ear Infirmary



Differential Diagnosis
The differential diagnosis includes several entities that can present with paradoxical pupillary response: achromatopsia, congenital stationary night blindness, cone-rod dystrophy. Uncommonly paradoxical papillary constriction has been reported in retinitis pigmentosa, dominant optic atrophy, old bilateral optic neuritis, congenital nystagmus, Best disease, amblyopia, albinism and Leber’s congenital amaurosis.
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