Abstract
Holmes-Adie syndrome (HAS) is a rare neuro-ophthalmological disorder, which mostly presents in young females as a unilateral dilated pupil. We present a case of a 12-year-old girl with bilateral tonic pupils. She had vermiform movement of the iris with segmental palsy, as well as loss of ankle jerks. The diagnosis was confirmed with pilocarpine 0.125% test, and she was symptomatically treated with the same drops.
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