Neurological Assessment : Checks Pupils

Neurological Assessment : Checks Pupils

1. Observes Both Pupils Simultaneously For: Equality, Size and Shape.
   • Compares pupils for equality.
   • Determines size, dilated, constricted, pinpoint.
   • Determines irregularities in shape.
   
   
2. Observes Direct Pupillary Light Reflexes.
   • Checks one pupil at a time.
   • Shines flashlight into eye from side.
   • Repeat other eye.
   
   
3. Observes Consensual Pupillary Reflex
   • Shines flashlight into each eye alternately.
   • Observes opposite pupil. Opposite pupil should constrict when light shore.
   • Charts description of pupils: Equality, size, shape, reaction to light.
   
   
4. Observes pupillary response to accommodation
   • Have patient follow a closer moving object such as a pen.
   • Pupils will constrict (or accommodate) to the closer moving object. * cannot be tested on blind or confused persons.
   
   
5. Observes Extraocular Movements
   • Asks patient to focus on object.
   • Moves object; medical, lateral, superior, inferior and circular. In the pattern of an "H."
   • Observes movement of both eyes in each of above directions; notes abnormalities or weakness. A. Charts extraocular movements as "full" if no abnormalities or "unable to move eyes laterally, medially etc."

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