![]() ![]() ![]() To document the findings of a pupillary examination, many students and doctors use PERRLA, which stands for: Pupils Equal, Round, Reactive to Light and Accommodation. No connection to questions or verbal Reponses None * Navigating Neuroscience Nursing, 2012 SCORE 1 No information is getting through. Pupil testing is an essential part of a complete eye examination, especially when diagnosing autonomic nervous system disorders that can affect the pupillary response. An NPi value closer to 5 is considered more brisk than an NPi value closer to 3. Sounds Incomprehensible 2 Information getting through, less effective. An NPi score 3 means that the pupil reactivity falls within the boundaries of the normative pupil behavior distribution (i.e., pupillary reaction to light is brisk or normal).The size of the pupil determines the amount of light that enters the eye. The pupillary light reflex (PLR) or photopupillary reflex is a reflex that controls the diameter of the pupil, in response to the intensity (luminance) of. NORMAL PUPIL The pupil is an opening located in the center of the IRIS that allows light to enter the retina. Best Verbal Response (If the patient has a language or communication barrier and there is no interpreter or family present at the time of the assessment, document the language barrier across the section and expand in the nursing/interdisciplinary notes) Feature Scale Response Verbal Response Orientated Implications in Assessment Common Causes that can influence score 5 Information is getting to the cortex NONE Conversation Confused 4 Information getting to the cortex, but jumbled confused answers Speech Inappropriate 3 Information getting to the cortex, but jumbled. PUPIL IN HEALTH AND DISEASE CHAIRPERSON : PROF.DR.M.S.KRISHNAMURTHY PRESENTER : DR.
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