PUPILLARY EXAMINATION

This test should be done if the complaint is reduction of vision, ocular motility disorder, or headache.

  • Size (Equal)
  • Shape (Round)
  • Reaction to Light
  • Reaction to Accommodation
  • Swinging-Flash Light Test

Pupillary Pathway

  • Afferent Pathway
    • Light source
    • Left
    • Ciliary ganglion
    • 3rd cranial nerve with parasympathetic fibers
    • Lateral geniculate body
    • 3rd cranial nucleus
  • Pretectal Nucleus
    • Edinger-Westphal nucleus (part of the 3rd cranial nerve nucleus)
  • Efferent Pathway
    • Right
    • Optic nerve

Light Reflex of the Pupil

Swinging-Flash Light Test

  1. Video1
  2. Video2
  3. Video3