Adie’s pupil, an efferent pupillary defect is caused by injury to parasympathetic pupillomotor nerve supply to Iris sphincter muscle. More commonly seen in young adult females with up to 80% cases having unilateral involvement. According to literature, Adie’s Pupil may occur alone or as a part of a systemic condition or may be associated with a syndromic presentation. Bilateral Adie’s pupil in a female at initial presentation with mild visual symptoms and no syndromic association is sparsely reported in literature. Keywords: Adie’s pupil, Anisicoria, tonic pupil.
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