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. 2025 Jun 1;73(Suppl 3):S508-S510.
doi: 10.4103/IJO.IJO_717_24. Epub 2025 May 30.

PUPILLARY REFLEX AT EASE: A new instrument for the demonstration of Pupillary reflex

Allapitchai Fathima  1 , Praveena Shyam  1 , Shivam Gupta  2 , Meenakshi Ravindran  1
Affiliations

PUPILLARY REFLEX AT EASE: A new instrument for the demonstration of Pupillary reflex

Allapitchai Fathima et al. Indian J Ophthalmol. .

Abstract

As ophthalmologists, we often come across a lot of patients with neuro-ophthalmological disorders that show no positive examination findings except for subtle abnormalities in the pupillary light reflex. However, these subtle changes are often overlooked in a busy OPD setting, especially by junior doctors and nursing staff. Thus, we decided to develop an innovation to simplify the assessment of pupillary reflexes, which we have named PUPILLARY REFLEX AT EASE. Our plan involved magnifying the iris and pupil using biconvex lenses to facilitate the visualization of the response. Additionally, we proposed setting up an inbuilt electrical circuit for illuminating the eyes. To elicit consensual reflexes, we decided to dissociate the eyes and provide ambient illumination using low-voltage light bulbs. This represents a simple attempt to address a common challenge faced by clinicians.

Keywords: Light reflex; pupil; pupillary reflex.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Materials required to construct the Prototype
Figure 2
Figure 2
“Pupillary reflex at Ease”. (a) 3-D printed prototype in the form of a snorkeling goggle that fit snugly on the patient’s face. (b) Biconvex lens (+12 D) used to magnify the eye. Low voltage 1-watt lights were fitted on the inner lower side of the device on each side to provide ambient illumination. (c) Electrical circuit diagram. (d) High-voltage lights were fitted on the inner temporal side of the device at an oblique angle to elicit the pupillary reflex
See this image and copyright information in PMC

References

    1. Shumway CL, Motlagh M, Wade M. Treasure Island (FL): StatPearls Publishing; 2024. Anatomy, Head and Neck, Eye Extraocular Muscles. Available from: http://www.ncbi.nlm.nih.gov/books/NBK519565/ - PubMed
    1. Nozaki K, Kamiya K, Matsue Y, Hamazaki N, Matsuzawa R, Tanaka S, et al. Pupillary light reflex as a new prognostic marker in patients with heart failure. J Card Fail. 2019;25:156–63. - PubMed
    1. Belliveau AP, Somani AN, Dossani RH. StatPearls. Treasure Island (FL): StatPearls Publishing; 2024. Pupillary Light Reflex. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537180/ . [Updated 2023 Jul 25] - PubMed
    1. Nyholm B, Obling L, Hassager C, Grand J, Møller J, Othman M, et al. Superior reproducibility and repeatability in automated quantitative pupillometry compared to standard manual assessment, and quantitative pupillary response parameters present high reliability in critically ill cardiac patients. PLoS One. 2022;17:e0272303. - PMC - PubMed
    1. Shirah BH, Sen J, Naaman NK, Pandya S. Automated pupillometry in space neuroscience. Life Sci Space Res (Amst) 2023;37:1–2. - PubMed

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