Pupillary Response
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Pupillary response to light - direct (same eye the light is directed into)
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Pupillary response - indirect (eye light is not directed into) (watch examiner’s eyes closely, can watch eye dilate)
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Swinging flashlight test (start in one eye, quickly move to other eye, wait then fast back to original eye and wait)
Pupillary Light Response
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Observe reflection of pen light in both pupils. Is it symmetrical?
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Test the papillary response to light
- Direct response – pupil constricts in examined eye
- Consensual (Indirect) response – pupil constricts in the opposite eye
tell patient to put his hand in middle to avoid light getting into it for good light response
Dilator- sympathetic fibers constrictors- parasympathetic oculomotor fiber
Swinging Flashlight Test
Detects optic nerve disease vs ocular disease
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A bright light is placed in front of one eye and moved quickly to the other eye, then one or two seconds later moved quickly back to the first eye.
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The pupils should remain constricted when the light is taken from one eye quickly to the other
Eyes Examination
- Inspection
- Visual Acuity
- Refraction
- Intraocular pressure
- Alignment & Motility
- Pupillary Response
- Fundoscopic Exam - Retinal Exam
- Visual Fields
Fundoscopic Exam of the Eye
