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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 ...
Traditionally, pupil measurements have been performed in a subjective manner by using a penlight or flashlight to manually evaluate pupil reactivity (sPLR, "s" stands for standard) and using a pupil gauge to estimate pupil size. However, manual pupillary assessment is subject to significant inaccuracies and inconsistencies.
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.
Mean deviation (MD): Derived from the total deviation and represents the overall mean departure from the age-corrected norm. [18] A negative value indicates field loss, while a positive value indicates that the field is above average. A P value is provided if the global indices are abnormal. It provides a statistical representation of the ...
Adie's pupil is caused by damage to peripheral pathways to the pupil (parasympathetic neurons in the ciliary ganglion that cause pupillary constriction to bright light and with near vision). The pathophysiologic mechanism which produces an Argyll Robertson pupil is unclear, but is believed to be the result of bilateral damage to the pretectal ...
When the optic nerve is damaged, the sensory (afferent) stimulus sent to the midbrain is reduced. The pupil, responding less vigorously, dilates from its prior constricted state when the light is moved away from the unaffected eye and towards the affected eye. This response is a relative afferent pupillary defect (or Marcus Gunn pupil). [1]
Eponymous medical signs are those that are named after a person or persons, usually the physicians who first described them, but occasionally named after a famous patient. This list includes other eponymous entities of diagnostic significance; i.e. tests, reflexes, etc.
Family medical history FOH: Family ocular history F/U: Follow up appointment GH: General health G(M)P: General (medical) practitioner HA: Headaches HARC: Harmonious abnormal retinal correspondence HM: Hand motion vision – state distance Hx: History IOL: Intra-ocular lens IOP: Intra-ocular pressure ISNT: Inferior, Superior, Nasal, Temporal