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The swinging-flashlight test is used to help a practitioner identify a relative afferent pupillary defect.
Video Swinging-flashlight test
Process
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.
Maps Swinging-flashlight test
Interpretation
- Normally, each illuminated pupil promptly becomes constricted. The opposite pupil also constricts consensually.
- When ocular disease, such as cataract, impairs vision, the pupils respond normally.
- 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).
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See also
- Eye examination
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References
- Bickley L.S. 2008. Bates' guide to physical examination and history taking. 10th ed. Lippincott Williams and Wilkins, New York. p. 244.
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External links
- http://library.med.utah.edu/neurologicexam/html/cranialnerve_normal.html#05
Source of the article : Wikipedia
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