What patient groups is Holmes-Adie pupil most common?

most commonly seen in women

What are the main clinical features of Holmes-Adie pupil?

• unilateral in 80% of cases
• dilated pupil
• once the pupil has constricted it remains small for an abnormally long time
• slowly reactive to accommodation but very poorly (if at all) to light

What none optic clinical finding is seen in Holmes-Adie pupil?

absent ankle/knee reflexes