Onset of anisocoria: Old patient photographs often help to date anisocoria that is unaccompanied by other symptoms. Physical. Key aspects of the physical examination (eg, pupil size in light, pupil size in the dark, pupil reactivity to light and dark) help to localize the problem. Additional historical features such as pain, diplopia, ptosis, numbness, ataxia, dysarthria, or weakness help generate a differential diagnosis.
Mount Agung last erupted in 1963 (see information box in this article). This was one of the largest 20th century eruptions anywhere in the world. Historical eruptions of the volcano are poorly recorded, but there was certainly one in the 1820s.
A new island volcano, named Anak Krakatau, or Child of Krakatoa, rose above the waterline a few days later. The eruptions were initially of pumice and ash, and that island and the two islands that followed were quickly eroded away by the sea. Eventually a fourth island named Anak Krakatau broke water in August 1930 and produced lava flows faster than the waves could erode them.