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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 ...
For more than 100 years, clinicians have evaluated the pupils of patients with suspected or known brain injury or impaired consciousness to monitor neurological status and trends, checking for pupil size and reactivity to light. [3]
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.
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 ...
By analogy with a camera, the pupil is equivalent to aperture, whereas the iris is equivalent to the diaphragm. It may be helpful to consider the Pupillary reflex as an 'Iris' reflex, as the iris sphincter and dilator muscles are what can be seen responding to ambient light. [2] Whereas, the pupil is the passive opening formed by the active iris.
Pupils equal, round, reactive to light and accommodation PH Pinhole see Pinhole occluder and Visual_acuity#Legal_definitions: PHNI Pinhole No Improvement see Pinhole occluder and Visual_acuity#Legal_definitions: PHVA Pinhole Visual Acuity: PL Perception of light POH / PrOH Previous ocular history PPA Peri-papillary atrophy Pt Patient RAPD
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.
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.