J Korean Ophthalmol Soc.  2005 Jun;46(6):1034-1036.

Relative Afferent Pupillary Defect in Normal Subjects in 10 to 39 Years of Age

Affiliations
  • 1Department of Biomedical Engineering, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Ophthalmology, Inha University College of Medicine, Inha University Hospital, Inchon, Korea.
  • 3Department of Ophthalmology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. hjm@snu.ac.kr

Abstract

PURPOSE
In order to investigate the incidence of relative afferent pupillary defect (RAPD) in normal adolescence and if there is any interocular difference in the case with RAPD. METHODS: Fifty-eight adolescence in 14 to 36 years of age who showed normal findings on measurement of visual acuity, intraocular pressure, slit lamp examination, and funduscopic examination except refractive errors underwent swinging flashlight test and infrared pupillography. The case with RAPD further underwent optical coherence tomography, color vision test, Humphrey visual field test, and Bryngelson test (hole-in-the-card test). RESULTS: One out of 58 cases, in whom more pronounced myopic astigmatism and lower mean deviation on Humphrey visual field test within normal limits were found, showed RAPD in the dominant right eye with swinging flashlight test and infrared pupillography. CONCLUSIONS: The incidence of RAPD in normal adolescence was 1.7%. Myopic astigmatism was higher in the eye with RAPD.

Keyword

Interocular difference; Normal adolescence; Relative afferent pupillary defect

MeSH Terms

Adolescent
Astigmatism
Color Vision
Humans
Incidence
Intraocular Pressure
Pupil Disorders*
Refractive Errors
Tomography, Optical Coherence
Visual Acuity
Visual Field Tests
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