Elucidated in 1958 by Rucker. In effect, the rule states, “Third nerve palsy due to extrinsic compression of the nerve will be associated with impaired pupillary constriction.” However, it is often overlooked that in 3% the pupil is spared 1).
1)
Trobe JD. Third nerve palsy and the pupil. Footnotes to the rule. Arch Ophthalmol. 1988; 106:601–602