The mnemonic
MIA
What each word stands for
- MMiotic (small) pupils
- IIrregular outline, bilateral
- AAccommodation reflex present while the light reflex is absent
Why it matters clinically
Light-near dissociation classically points to neurosyphilis.
Where it stops being reliable
Diabetes and other causes can mimic it; it does not cover the Adie pupil.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.