A 25 year old nurse comes in for an urgent exam. She states her left eye is blurred and the pupil dilated. You shine a light in the left eye and it does not respond. You place a drop of 1/8 % pilocarpine in it, and it still does not respond. The most likely diagnosis is
a) Adies's pupil
b) Early IIIrd nerve lesion
c) Medication contamination to her eye
d) Beginning aneurysm
Answer: c) Medication contamination to her eye
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