Practice Quiz

Ophthalmic Technician

Category - Pupillary Assessment

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A 22-year-old male presents with sudden blurred vision in the right eye. The visual acuity in the right eye is 20/200 and left eye is 20/20. Fundus examination of the right eye reveals the presence of a large retinal detachment and the left fundus appears normal. What is the pupil reaction expected on the swinging flash light test?
  1. RAPD in the right pupil
  2. RAPD in the left pupil
  3. No reaction in the right pupil
  4. TAPD in the right pupil
Explanation
Answer: A - RAPD in the right pupilwould benoted during the swinging flash light test.

The swinging flash light test is done to elicit RAPD. It is done in a dimly lit room. The patient is asked to look at a distant target to prevent constriction of the pupil from near reflex. A bright pen torch light is shone on each eye for about 3-5 seconds and pupil reaction is noted in each eye.
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