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Pupil Examination in Children

Pupil Examination in Children
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Author(s): Iason Mantagos (Boston Children's Hospital, USA)
Copyright: 2022
Pages: 11
Source title: The Pediatric Eye Exam Quick Reference Guide: Office and Emergency Room Procedures
Source Author(s)/Editor(s): Lily Zhu-Tam (Citywide Eye Care Optometry, USA) and Ida Chung (College of Optometry, Western University of Health Sciences, USA)
DOI: 10.4018/978-1-7998-8044-8.ch006


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Pupillary evaluation is a crucial part of every pediatric eye exam. It provides information about the structure of the eye as well as the afferent and efferent function of the eyes. It remains a quick and efficient test in the ocular evaluation. This chapter reviews the relevant neuroanatomy and the different components of the pupillary exam. The light-reflex and swinging flashlight tests are reviewed, as well as how a reverse afferent pupillary defect is detected. Clinical examples and pearls are provided to help the reader better understand the different aspects of the exam.

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