Ophthalmic Technician

Category - Pupillary Assessment

Which of the following is NOT true about RAPD?
  1. Bilateral RAPD is seen in the presence of bilateral optic neuritis
  2. Severe disease in one eye causing RAPD will not give rise to anisocoria
  3. The visual acuity does not correlate with RAPD in all cases
  4. The pupil in the diseased eye appears to be equal to the size of the pupil in the unaffected eye due to consensual light reflex
Explanation
Answer: A - Bilateral RAPD does not exist. Therefore, bilateral diseases of the eye do not show presence of bilateral RAPD. However, glaucoma is a bilateral disease but can show presence of RAPD in one eye depending on the severity of optic nerve damage.
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