Hippus, also known as pupillary athetosis, is spasmodic, rhythmic, but regular dilating and contracting pupillary movements between the sphincter and dilator muscles. Pupillary hippus comes from the Greek hippos meaning horse, perhaps due to the rhythm of the contractions representing a galloping horse.
It is particularly noticeable when pupil function is tested with a light, but is independent of eye movements or changes in illumination. It is usually normal, however pathological hippus can occur.
Pathologic hippus, the phenomena of increased oscillation or their amplitude, is associated with aconite poisoning, altered mental status, trauma, cirrhosis, and renal disease; suggesting a common pathway of frontal lobe dysfunction. A retrospective study of 117 hospitalized patients with hippus noted an increased 30-day mortality when compared to controls and adjusted for other factors (odds ratio=4.1, p<0.001).
- McLaren J. W.; Erie J. C.; Brubaker R. F. (1992). "Computerized analysis of pupillograms in studies of alertness". Investigative Ophthalmology and Visual Science. 33: 671–6.
- Cassin, B. and Solomon, S. Dictionary of Eye Terminology. Gainesville, Florida: Triad Publishing Company, 1990.
- Beatty, J., & Lucero-Wagoner, B. (2000). The pupillary system. In J. T. Cacioppo, L. G. Tassinary & G. G. Bernston (Eds.), The handbook of psychophysiology (2nd ed.) (pp. 142-162). USA: Cambridge University Press.
- Forensic and State Medicine: Reddy
- Denny JC, Arndt FV, Dupont WD, Neilson EG (2008). "Increased hospital mortality in patients with bedside hippus". Am J Med. 121 (3): 239–45. PMID 18328309. doi:10.1016/j.amjmed.2007.09.014.
|This article about the eye is a stub. You can help Wikipedia by expanding it.|