Pupil Puzzle.

The article presents a scenario by which a 25-year old right-handed male patient, who has been presented for a routine eye care, desiring contact lenses. The patient accordingly disclosed that he had been told he had a problem with his pupils and has been experiencing muscular parenthesis, which he described as jumping and twitching in his right hand fingers. Pupillary anomalies are said to be challenging due to its underlying cause that can range from benign conditions to potentially life-threatening disorders. It is further stated that patients with any pupillary abnormality, even without associated neurological symptoms, need to be further evaluated.