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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 ...
Pupil data can be uploaded to the patient record, eliminating the possibility of data entry errors. The pupil size and reactivity are daily measurements and part of the protocol for critically injured or ill patients. They are essential in the clinical monitoring and neurological assessment of the patient.
The pupil size is measured, its shape and any asymmetry is tested. A commonly used abbreviation to describe normal pupils is PERRLA (pupils equal, round and reactive to light and accommodation). Pupillary light reflex is tested by having the patient stare into the distance as the examiner shines the penlight obliquely into each pupil. Pupillary ...
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.
Pupillary accommodation reflex — a reduction of pupil size in response to an object coming close to the eye. Pupillary light reflex — a reduction of pupil size in response to light. Rectoanal inhibitory reflex - a transient relaxation of the internal anal sphincter in response to rectal distention.
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history , [ 1 ] but not deeper investigation such as neuroimaging .
One pupil is dilated and unreactive, while the other is normal (in this case, the right eye is dilated, while the left eye is normal in size). This could mean damage to the oculomotor nerve (cranial nerve number 3, CN III) on the right side, or indicate the possibility of vascular involvement. Both pupils are dilated and unreactive to light.
Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.