Ocular involvement in facial morphea can take multiple forms, including changes in the eyelashes and eyelids, ptosis, uveitis, episcleritis, paralytic strabismus, orbital myositis, enophthalmos, pseudopapilledema, refractive errors, and dry eye; mydriasis has been reported occasionally1,2. Adie pupil has been recognized as a rare association3. Awareness of these associations is important to possibly prevent ocular complications.
A 15-year-old girl was noted to have a left pupil larger than the right at 9 years of age. Ophthalmological evaluation showed arrested …