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The Neurological Pupil index, or NPi, is an algorithm developed by NeurOptics, Inc., that removes subjectivity from the pupillary evaluation. A patient's pupil measurement (including variables such as size, latency, constriction velocity, dilation velocity, etc.) is obtained using a pupillometer, and the measurement is compared against a normative model of pupil reaction to light and ...
The American Journal of Critical Care revealed that critical care and neurosurgical nurses consistently underestimated pupil size, were unable to identify anisocoria, and incorrectly assessed pupil reactivity (sPLR). It concluded that automated pupillometry is a necessary tool for accuracy and consistency, and that it might facilitate earlier ...
Many automated pupilometers can also function as a type of pupil response monitor by measuring pupil dilation in response to a visual stimulus.. In ophthalmology, a pupillary response to light is differentiated from a pupillary response to focus (i.e. pupils may constrict on near focus, as with the Argyll Robertson pupil) in the diagnosis of tertiary syphilis.
The pupil of the human eye can range in size from 2 mm to over 8 mm to adapt to the environment The human eye can detect a luminance from 10 −6 cd/m 2 , or one millionth (0.000001) of a candela per square meter to 10 8 cd/m 2 or one hundred million (100,000,000) candelas per square meter.
Between these extremes is the pupil diameter that is generally best for visual acuity in normal, healthy eyes; this tends to be around 3 or 4 mm. If the optics of the eye were otherwise perfect, theoretically, acuity would be limited by pupil diffraction, which would be a diffraction-limited acuity of 0.4 minutes of arc (minarc) or 6/2.6 acuity.
The iris controls the size of the pupil by means of contracting the iris sphincter muscle and/or the iris dilator muscle. The size of the pupils is dependent on many factors (including light, emotional state, cognitive load, arousal, stimulation), and can range from less than 2 mm in diameter, to as large as 9 mm in diameter.
Web apps are used by a variety of online sellers of eyeglasses where an object of known size, such as a credit card, is needed to assist (size reference) the measurement process. [ 13 ] [ 14 ] Some mobile apps have eliminated the need for a reference object to make accurate PD measurements by leveraging depth imaging and advanced algorithms now ...
Argyll Robertson pupils (AR pupils) are bilateral small pupils that reduce in size on a near object (i.e., they accommodate), but do not constrict when exposed to bright light (i.e., they do not react). They are a highly specific sign of neurosyphilis; however, Argyll Robertson pupils may also be a sign of diabetic neuropathy.