A boy aged 17 years presented after noticing that his right pupil was off-center. He had a high hyperopic refractive error, and the magnification of his spectacle lenses highlighted the eccentric pupil. He had no associated symptoms of decreased vision, ocular pain, diplopia, glare, or haloes and had no history of ocular infection, surgical procedure, or trauma. His mother, also hyperopic, previously underwent prophylactic laser iridotomy for anatomically narrow, occludable angles.
Lee DY, Rhee DJ, Sayegh RR. A Slightly Displaced Pupil in One Eye. JAMA Ophthalmol. 2016;134(11):1327–1328. doi:10.1001/jamaophthalmol.2016.2152
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