Pupil diameter and pupillary movement under different lighting conditions represent important parameters used for clinical assessment of patients. The pupil is clinically important because it is an objective indicator of afferent light input and can be used to assess the integrity of the retina and optic nerve. The pupil is also a sensitive indicator of the innervational status of the iris muscles. The presence of pupil inequality, or anisocoria, is a reflection of autonomic nerve output to each iris. This Focal Points issue reviews the evaluation and management of pupillary inequality, which can sometimes be anxiety provoking. It includes numerous images, videos and tables, including a flow chart for diagnosing anisocoria.
Upon completion of this issue, you should be able to:
- Employ a tailored approach to evaluating patients with anisocoria
- Diagnose and manage patients presenting with Horner syndrome
- Diagnose and manage patients presenting with large, poorly reactive pupils
Focal Points issues are practical, hands-on discussions of the clinical challenges you face daily. Each issue delivers high-quality, trusted ophthalmic information written and reviewed by leading experts.
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The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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