Reflexes 1

The reaction of the pupil to both direct and indirect (consensual) bright light and accommodation should be assessed and recorded.

A pupil that is slow or fails to react to light, but reacts to accommodation, is commonly due to one or other of:

  • Optic neuropathy
  • Holmes-Adie syndrome
  • Argyll-Robertson pupil

No reaction to light or accommodation is most likely due to either occulomotor nerve palsy, or the use of a mydriatic drug.