Which statement best describes Adie tonic pupil education?

• A. It is a benign condition where one pupil may be larger and light sensitivity can occur; sunglasses and annual monitoring are recommended
• B. It is typically vision-threatening
• C. It requires urgent surgical intervention
• D. It is contagious

Answer: (A)

Adie tonic pupil is a benign, typically unilateral dilation of the pupil due to postganglionic parasympathetic denervation, which causes sluggish or absent light response while accommodation may be relatively preserved. Photophobia is common from the reduced constriction to light. Because it usually remains stable and does not threaten vision, management is conservative: sunglasses to ease light sensitivity and regular monitoring to ensure no progression or additional neurologic signs. It does not require urgent surgery and is not contagious. So describing it as a benign condition with a larger pupil and light sensitivity, managed with sunglasses and annual monitoring, best fits how this condition presents and is managed.