purpose: to report visual outcomes of pars plana vitrectomy in severely traumatized eyes with no light perception (nlp) and flat electroretinography (erg) methods: we performed a prospective interventional study on 22 severely traumatized eyes with nlp, 4+ relative afferent pupillary defect (rapd) and flat erg. results: one year after pars plana virectomy, 15 patients (68.18%) had nlp, six pati...

BACKGROUND Relative afferent pupillary defects are typically related to ipsilateral lesions within the anterior visual pathways. OBJECTIVE To describe a patient who had a workup for headache and was found to have an isolated left relative afferent pupillary defect without any other neurological findings. DESIGN We review the neuroanatomy of the pupillary light reflex pathway and emphasize t...

We describe a patient with a left trochlear nerve paresis and a left relative afferent pupillary defect despite normal visual acuity, color vision, visual fields, and fundus examination. Magnetic resonance imaging revealed a lesion in the right dorsal midbrain extending from the brachium of the superior colliculus to the inferior colliculus. The anatomy and physiology of the pupillary light ref...

BACKGROUND The purpose of this study was to determine the predictive value of flash visual-evoked potentials (VEP), relative afferent pupillary defect, and presence of orbital fractures in patients with traumatic optic neuropathy. METHODS A prospective study was conducted in 15 patients with indirect traumatic optic neuropathy. All patients underwent a thorough ophthalmic examination. Initial...

AIM To evaluate surgery results and establish prognostic factors that predicted final functional (good or poor vision) and anatomic (final retinal detachment) outcome in open eye injury involving the posterior segment managed with pars plana vitrectomy. METHODS Medical records of 52 consecutive patients with open eye injury involving the posterior segment were retrospectively reviewed. Specif...

Light source The ‘swinging light test’ is used to detect a relative afferent pupil defect (RAPD): a means of detecting differences between the two eyes in how they respond to a light shone in one eye at a time. The test can be very useful for detecting unilateral or asymmetrical disease of the retina or optic nerve (but only optic nerve disease that occurs in front of the optic chiasm). The phy...