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Oct 25, 2017. Relative Afferent Pupillary Defect (RAPD) is a condition in which pupils respond differently to light stimuli shone in one eye at a time due to unilateral or asymmetrical disease of the retina or optic nerve. Swinging flashlight test or Marcus Gunn test is one of the most basic eye exams that neurologists,
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This can be demonstrated with the swinging flashlight test, in which the light is moved back and forth between the eyes every two to three seconds. The afferent pupillary defect becomes obvious when the flashlight is moved from the normal to the affected eye, and the affected pupil dilates in response to light. Under normal.
The swinging-flashlight test is used to help a practitioner identify a relative afferent pupillary defect. Contents. [hide]. 1 Process; 2 Interpretation; 3 See also; 4 References; 5 External links. Process. For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils.
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May 15, 2015. The purpose of the swinging flashlight test is to compare the strength of the direct pupillary response with that of the consensual response in the same. as having a relative afferent pupillary defect (RAPD, APD, Marcus-Gunn pupil), signifying unilateral or asymmetric damage to the anterior visual pathway.
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In a normal swinging light test (i.e. there is no RAPD) the pupils of both eyes constrict equally regardless of which eye is stimulated by the light (Figure ( Figure2).2). In an abnormal swinging-light test (i.e. there is a RAPD) there is less pupil constriction in the eye with the retinal.
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If an optic nerve lesion is present the affected pupil will not constrict to light when light is shone in the that pupil during the swinging flashlight test. However, it will constrict if light is shone in the other eye (consensual response). The swinging flashlight test is helpful in separating these two etiologies as only patients with optic.
Mar 15, 2016. Severe but bilaterally equal disease will not result in an RAPD, as a bilateral APD does not exist. In addition, an. When testing only one pupil, the swinging flashlight test is performed in the same way as you would with two functioning pupils; however, only the reactive pupil is observed. The direct and.
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