In the latest in our series looking at general practice eye examination, Bill Harvey and Andrew Franklin describe pupil assessment and its significance. Module C8426, one general CET point, suitable for optometrists and DOs
This article is best viewed in a PDF Format.
The pupillary reflex pathway is shown in Figure 1. If a pen torch is presented to one eye, the pupil will constrict (the direct reflex) as will that of the other eye (the consensual reflex). Both will constrict when a patient changes gaze from a distant target to a near one (the near reflex). Ambient lighting should be reduced to exaggerate the resting pupil diameter but be of sufficient levels to allow easy viewing of the pupil, particularly in patients with very dark irides.
Register now to continue reading
Thank you for visiting Optician Online. Register now to access up to 10 news and opinion articles a month.
Register
Already have an account? Sign in here