Adie’s syndrome in a recovered case of Bell’s palsy – A rare case report

Abstract:

This article describes a rare case where a patient developed Adie’s pupil after recovering from Bell’s palsy. Adie’s pupil, caused by parasympathetic involvement, presents as a dilated, poorly reactive pupil with reduced accommodation; Bell’s palsy involves facial nerve dysfunction leading to facial paralysis, usually resolving within 6 months. The patient, with a prior history of fully resolved Bell’s palsy, presented with right-sided Adie’s pupil and absent deep tendon reflexes. Diagnosis was confirmed with 0.125% pilocarpine. While Adie’s pupil has been linked to other conditions, its occurrence post-Bell’s palsy is unusual, underscoring the importance of long-term follow-up in such patients.