Eyes Horror -

Case Report 734-B: Idiopathic Pupillary Reflex Syndrome

Do not open them again.

It looks back.

You are the observed.

If you are reading this and notice, for even a moment, that your pupil does not contract symmetrically, or that your mirror image blinks a millisecond too late, close your eyes immediately. eyes horror

We do not yet understand what triggers the transition from host to vessel. We do not know why the subjects’ final corneal impressions show a second, smaller face superimposed over their own. However, we have noted a disturbing commonality in the pre-morbid notes of all six patients: each had, in the weeks prior, spent an unusual amount of time looking at their own reflection in dim light.

The previous six patients are still clinically alive. Their bodies are eating, breathing, walking. They are pleasant. They have learned to blink on cue. But their irises have changed color to a shade of blue not found in the human spectrum. When they smile, they do so with their teeth first, and their eyes second. Do not trust a patient whose sclera is too white. Do not trust a patient whose gaze feels like a hand on the back of your neck. And whatever you do—do not look into the ophthalmoscope when the room is empty. Case Report 734-B: Idiopathic Pupillary Reflex Syndrome Do

The Journal of Ophthalmic Anomalies (Vol. 89, Issue 2) Submitted by: Dr. Elara Vance, M.D., Ph.D., Department of Neuro-Ophthalmology, St. Jude’s Hospital