RAPD positive: Which eye is abnormal?

Relative afferent pupillary defect (RAPD) test is a common screening tool used by medical personnel in the ophthalmology clinic when seeing newly referred cases. It is done routinely prior to consultation with a medical officer. Even medical students are reminded to perform the RAPD test as part of...

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Main Author: Shalihin, Mohd Shaiful Ehsan
Format: Article
Language:English
Published: Malaysia Medical Gazette 2015
Subjects:
Online Access:http://irep.iium.edu.my/64330/
http://irep.iium.edu.my/64330/
http://irep.iium.edu.my/64330/7/64330%20RAPD%20Positive.pdf
id iium-64330
recordtype eprints
spelling iium-643302018-07-16T07:50:55Z http://irep.iium.edu.my/64330/ RAPD positive: Which eye is abnormal? Shalihin, Mohd Shaiful Ehsan R Medicine (General) RE Ophthalmology Relative afferent pupillary defect (RAPD) test is a common screening tool used by medical personnel in the ophthalmology clinic when seeing newly referred cases. It is done routinely prior to consultation with a medical officer. Even medical students are reminded to perform the RAPD test as part of a complete cranial nerve examination. Despite its wide application, many still do not understand the real function of the RAPD test and wrongly interpret its results. Is it possible to identify the normal or abnormal eye based on the result of the RAPD test? To correctly answer this question, we need to have a closer look at how our eyes work. The pupils constrict in response to light and dilate in absence of light, a phenomenon known as the pupillary light reflex. The beauty of this is that both pupils will constrict even if only one eye is stimulated by a light source. This is called the consensual light reflex. It requires an intricate coordination between various components of the visual pathway; the optic nerve transmits impulses from retinal photoreceptors to the midbrain, impulses that then travel to the ciliary ganglia via the oculomotor nerve and cause equal constriction of both pupils Malaysia Medical Gazette 2015-03-23 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/64330/7/64330%20RAPD%20Positive.pdf Shalihin, Mohd Shaiful Ehsan (2015) RAPD positive: Which eye is abnormal? Malaysia Medical Gazette. pp. 1-4. http://www.mmgazette.com/rapd-positive-which-eye-is-abnormal-dr-mohd-shaiful-ehsan/
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
RE Ophthalmology
spellingShingle R Medicine (General)
RE Ophthalmology
Shalihin, Mohd Shaiful Ehsan
RAPD positive: Which eye is abnormal?
description Relative afferent pupillary defect (RAPD) test is a common screening tool used by medical personnel in the ophthalmology clinic when seeing newly referred cases. It is done routinely prior to consultation with a medical officer. Even medical students are reminded to perform the RAPD test as part of a complete cranial nerve examination. Despite its wide application, many still do not understand the real function of the RAPD test and wrongly interpret its results. Is it possible to identify the normal or abnormal eye based on the result of the RAPD test? To correctly answer this question, we need to have a closer look at how our eyes work. The pupils constrict in response to light and dilate in absence of light, a phenomenon known as the pupillary light reflex. The beauty of this is that both pupils will constrict even if only one eye is stimulated by a light source. This is called the consensual light reflex. It requires an intricate coordination between various components of the visual pathway; the optic nerve transmits impulses from retinal photoreceptors to the midbrain, impulses that then travel to the ciliary ganglia via the oculomotor nerve and cause equal constriction of both pupils
format Article
author Shalihin, Mohd Shaiful Ehsan
author_facet Shalihin, Mohd Shaiful Ehsan
author_sort Shalihin, Mohd Shaiful Ehsan
title RAPD positive: Which eye is abnormal?
title_short RAPD positive: Which eye is abnormal?
title_full RAPD positive: Which eye is abnormal?
title_fullStr RAPD positive: Which eye is abnormal?
title_full_unstemmed RAPD positive: Which eye is abnormal?
title_sort rapd positive: which eye is abnormal?
publisher Malaysia Medical Gazette
publishDate 2015
url http://irep.iium.edu.my/64330/
http://irep.iium.edu.my/64330/
http://irep.iium.edu.my/64330/7/64330%20RAPD%20Positive.pdf
first_indexed 2023-09-18T21:31:17Z
last_indexed 2023-09-18T21:31:17Z
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