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pupil dilation

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https://www.readbyqxmd.com/read/28435989/aggressive-medical-management-of-acute-traumatic-subdural-hematomas-before-emergency-craniotomy-in-patients-presenting-with-bilateral-unreactive-pupils-a-cohort-study
#1
Arturo Chieregato, Alessandra Venditto, Emanuele Russo, Costanza Martino, Giovanni Bini
BACKGROUND: The outcome of patients with severe traumatic brain injury (TBI) and acute traumatic subdural hematoma (aSDH) admitted to the emergency room with bilaterally dilated, unreactive pupils (bilateral mydriasis) is notoriously poor. METHODS: Of 2074 TBI patients consecutively admitted to our facility between 1997 and 2012, 115 had a first CT scan with aSDH, unreactive bilateral mydriasis, and a Glasgow Coma Score of 3 or 4. Sixty-two patients were unoperated and died within hours or a few days...
April 24, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28420580/comparative-pharmacodynamic-analysis-of-imidazoline-compounds-using-rat-model-of-ocular-mydriasis-with-a-test-of-quantitative-structure-activity-relationships
#2
Joanna Raczak-Gutknecht, Antoni Nasal, Teresa Frąckowiak, Anita Kornicka, Franciszek Sączewski, Renata Wawrzyniak, Łukasz Kubik, Roman Kaliszan
Imidazol(in)e derivatives, having the chemical structure similar to clonidine, exert diverse pharmacological activities connected with their interactions with alpha2-adrenergic receptors, e.g. hypotension, bradycardia, sedation as well as antinociceptive, anxiolytic, antiarrhythmic, muscle relaxant and mydriatic effects. The mechanism of pupillary dilation observed after systemic administration of imidazol(in)es to rats, mice and cats depends on the stimulation of postsynaptic alpha2-adrenoceptors within the brain...
April 6, 2017: Journal of Pharmaceutical and Biomedical Analysis
https://www.readbyqxmd.com/read/28417841/benign-episodic-unilateral-mydriasis-in-a-flight-nurse
#3
Anthony Schiemer
BACKGROUND: Benign episodic unilateral mydriasis is one cause of anisocoria. This phenomenon is thought to be related to an imbalance between the sympathetic and parasympathetic nervous systems. There is a documented association with migraines, but asymptomatic cases have also been reported. A challenge with all cases is the level of investigation required to exclude more sinister causes of nervous system dysfunction. In a dynamic flight environment, additional considerations need to be made, such as varying light levels and use of night vision devices...
May 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28416927/cataract-surgery-and-possible-complications-in-patients-with-pseudoexfoliation-syndrome
#4
Gulsum Egemen Erkayhan, Semih Dogan
OBJECTIVE: The aim of this study was to evaluate the demographic characteristics and intraoperative complications of cataract surgery in patients with pseudoexfoliation syndrome (PEX). MATERIALS AND METHODS: Cases of 225 eyes (80 eyes with pseudoexfoliation and 145 eyes without pseudoexfoliation as the control group) that underwent phacoemulsification cataract surgery and IOL implantation at the Silifke State Hospital Ophthalmology Clinic between April 2011 and April 2013 were analysed retrospectively...
February 2017: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/28413125/transient-dysautonomia-in-an-acute-phase-of-encephalopathy-with-biphasic-seizures-and-late-reduced-diffusion
#5
Yuko Ichimiya, Noriyuki Kaku, Yasunari Sakai, Fumiya Yamashita, Wakato Matsuoka, Mamoru Muraoka, Satoshi Akamine, Soichi Mizuguchi, Michiko Torio, Yoshitomo Motomura, Yuichiro Hirata, Yoshito Ishizaki, Masafumi Sanefuji, Hiroyuki Torisu, Hidetoshi Takada, Yoshihiko Maehara, Shouichi Ohga
Paroxysmal sympathetic hyperactivity (PSH) is a dysautonomic condition that is associated with various types of acquired brain injuries. Traumatic brain lesions have been documented as the leading cause of PSH. However, detailed clinical features of pediatric PSH caused by intrinsic brain lesions remain to be elusive. We present a 3-year-old boy, who had been diagnosed as having cerebral palsy, developmental delay and epilepsy after perinatal hypoxia-induced brain injury. He developed status epilepticus with fever on the third day of respiratory infection...
April 13, 2017: Brain & Development
https://www.readbyqxmd.com/read/28396802/a-portable-inexpensive-nonmydriatic-fundus-camera-based-on-the-raspberry-pi%C3%A2-computer
#6
Bailey Y Shen, Shizuo Mukai
Purpose. Nonmydriatic fundus cameras allow retinal photography without pharmacologic dilation of the pupil. However, currently available nonmydriatic fundus cameras are bulky, not portable, and expensive. Taking advantage of recent advances in mobile technology, we sought to create a nonmydriatic fundus camera that was affordable and could be carried in a white coat pocket. Methods. We built a point-and-shoot prototype camera using a Raspberry Pi computer, an infrared-sensitive camera board, a dual infrared and white light light-emitting diode, a battery, a 5-inch touchscreen liquid crystal display, and a disposable 20-diopter condensing lens...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28387821/ipsilateral-pupillary-dilation-following-carotid-endarterectomy-a-temporary-and-benign-phenomenon
#7
Jeffrey A Steinberg, Bob S Carter, Marco B Lee, Gary K Steinberg
BACKGROUND AND IMPORTANCE: Cases of post carotid endarterectomy (CEA) Horner's syndrome have been reported, with symptoms attributed to manipulation of the sympathetic plexus situated along the carotid artery; however, these patients presented with the typical constricted pupil. We report the first 3 cases to our knowledge of mydriasis following CEA. CLINICAL PRESENTATION: We present 3 cases of CEA followed by immediate postoperative development of ipsilateral mydriasis...
April 6, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28387133/altered-pupillary-light-response-scales-with-disease-severity-in-migrainous-photophobia
#8
Melissa M Cortez, Natalie A Rea, Lindsay A Hunter, Kathleen B Digre, K C Brennan
Background Autonomic dysfunction and light sensitivity are core features of the migraine attack. Growing evidence also suggests changes in these parameters between attacks. Though sensory and autonomic responses likely interact, they have not been studied together across the spectrum of disease in migraine. Methods We performed digital infrared pupillometry while collecting interictal photophobia thresholds (PPT) in 36 migraineurs (14 episodic; 12 chronic; 10 probable) and 24 age and sex-matched non-headache controls...
January 1, 2017: Cephalalgia: An International Journal of Headache
https://www.readbyqxmd.com/read/28383993/pupil-dilation-patterns-spontaneously-synchronize-across-individuals-during-shared-attention
#9
Olivia Kang, Thalia Wheatley
Human social behavior relies on the coupling of minds. Here we show that patterns of pupil dilations reveal mental coupling between speakers and listeners. Speakers were videotaped and eye-tracked as they discussed positive and negative autobiographical memories. An independent group of listeners were then eye-tracked while they watched these videos. As pupillary dilations reflect the dynamics of conscious attention, we computed the morphological similarity of speaker-listener pupillary time-series data as a metric of shared attention...
April 2017: Journal of Experimental Psychology. General
https://www.readbyqxmd.com/read/28379410/diagnostic-performance-of-retinal-digital-photography-for-diabetic-retinopathy-screening-in-primary-care
#10
Ana P O Rosses, Ângela J Ben, Camila Furtado de Souza, Adriana Skortika, Aline Lutz de Araújo, Gabriela de Carvalho, Franciele Locatelli, Cristina R Neumann
Introduction.: We must study alternatives to structure an effective diabetic retinopathy screening program for Brazilian public health system. Objectives.: Evaluate the diagnostic performance of retinal digital photography for diabetic retinopathy screening in primary care, accuracy of the family physician in diabetic retinopathy identification compared to the ophthalmologist, and the need for dilation. Methodology.: In a primary care service were performed retinal photographs with non-mydriatic Retinal Camera in 219 type 2 diabetic patients with and without medication mydriasis...
March 30, 2017: Family Practice
https://www.readbyqxmd.com/read/28378561/comparison-of-objective-and-subjective-changes-induced-by-multiple-pinhole-glasses-and-single-pinhole-glasses
#11
Won Soo Kim, In Ki Park, Young Kee Park, Yeoun Sook Chun
Multiple-pinhole (MPH) glasses are currently sold in many countries with unproven advertisements; however, their objective and subjective effects have not been investigated. Therefore, to investigate the effects of MPH glasses excluding the single-pinhole (SPH) effect, we compared the visual functional changes, reading speed, and ocular discomfort after reading caused by MPH and SPH glasses. Healthy 36 participants with a mean age of 33.1 years underwent examinations of pupil size, visual acuity (VA), depth of focus (DOF), and near point accommodation (NPA); tests for visual field (VF), contrast sensitivity (CS), stereopsis, and reading speed; and a survey of ocular discomfort after reading...
May 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28370389/is-an-objective-refraction-optimised-using-the-visual-strehl-ratio-better-than-a-subjective-refraction
#12
Gareth D Hastings, Jason D Marsack, Lan Chi Nguyen, Han Cheng, Raymond A Applegate
PURPOSE: To prospectively examine whether using the visual image quality metric, visual Strehl (VSX), to optimise objective refraction from wavefront error measurements can provide equivalent or better visual performance than subjective refraction and which refraction is preferred in free viewing. METHODS: Subjective refractions and wavefront aberrations were measured on 40 visually-normal eyes of 20 subjects, through natural and dilated pupils. For each eye a sphere, cylinder, and axis prescription was also objectively determined that optimised visual image quality (VSX) for the measured wavefront error...
March 30, 2017: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/28370187/differences-in-retinal-shape-between-east-asian-and-caucasian-eyes
#13
Pavan K Verkicharla, Marwan Suheimat, Katrina L Schmid, David A Atchison
PURPOSE: To investigate whether retinal shape is different between East Asians and Caucasians. METHODS: There were 36 East Asian and 40 Caucasian young adults, with refractions between +0.75D and -5.50D. Peripheral eye lengths were obtained after pupil dilation using the Lenstar partial coherence interferometer. Measurements were obtained along the horizontal and vertical meridians of the visual field out to ±35° and ±30°, respectively, in 5° steps. Retinal co-ordinates were estimated using a validated method from the peripheral eye length measurements and ray-tracing through a modified Le Grand full theoretical eye...
March 29, 2017: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/28361647/effects-of-photo-depicted-pupil-diameter-on-judgments-of-others-attentiveness-and-on-facial-recognition-memory
#14
Nicholas Watier, Christopher Healy, Heather Armstrong
Occasionally, individuals perceive that someone is no longer paying attention to the discussion at hand even when there are no overt cues of inattentiveness. As a preliminary study of this phenomenon, we examined whether pupil diameter might be implicitly used to infer others' attentiveness. Forty participants (27 women, 13 men, M age = 19.7 year, SD = 2.8) were presented with images of male faces with either large or small pupils, and, in the context of a personnel selection scenario, participants then judged the attentiveness of the person in the image...
April 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/28332896/the-distribution-of-macular-thickness-and-its-determinants-in-a-healthy-population
#15
Hassan Hashemi, Mehdi Khabazkhoob, AbbasAli Yekta, Mohammad Hassan Emamian, Payam Nabovati, Akbar Fotouhi
PURPOSE: To determine the distribution of macular thickness in a healthy Iranian population aged 45-69 years and its association with certain determinants. METHODS: All participants underwent optometric examinations including measurement of uncorrected and corrected visual acuity, objective refraction by retinoscopy, and subjective refraction. Subsequently, all participants underwent slit-lamp biomicroscopy followed by fundus examination through direct and indirect ophthalmoscopy, and optical coherence tomography (OCT) imaging under pupil dilation...
March 23, 2017: Ophthalmic Epidemiology
https://www.readbyqxmd.com/read/28328125/two-patients-with-the-heterozygous-r189h-mutation-in-acta2-and-complex-congenital-heart-defects-expands-the-cardiac-phenotype-of-multisystemic-smooth-muscle-dysfunction-syndrome
#16
Thushiha Logeswaran, Christoph Friedburg, Karoline Hofmann, Hakan Akintuerk, Saskia Biskup, Michael Graef, Ali Rad, Axel Weber, Bernd A Neubauer, Dietmar Schranz, Patrice Bouvagnet, Birgit Lorenz, Andreas Hahn
De novo heterozygous mutations changing R179 to histidine, leucine, or cysteine in the ACTA2 gene are associated with Multisystemic Smooth Muscle Dysfunction Syndrome (MSMDS). Characteristic hallmarks of this condition, caused only by these specific ACTA2 mutations, are congenital mydriasis (mid-dilated, non-reactive pupils), a large persistent ductus arteriosus (PDA), aortic aneurysms evolving during childhood, and cerebrovascular anomalies. We describe two patients, a 3-day-old newborn and a 26-year-old woman, with this unique mutation in association with a huge PDA and an aorto-pulmonary window...
April 2017: American Journal of Medical Genetics. Part A
https://www.readbyqxmd.com/read/28326023/infrared-video-pupillography-coupled-with-smart-phone-led-for-measurement-of-pupillary-light-reflex
#17
Lily Yu-Li Chang, Jason Turuwhenua, Tian Yuan Qu, Joanna M Black, Monica L Acosta
Clinical assessment of pupil appearance and pupillary light reflex (PLR) may inform us the integrity of the autonomic nervous system (ANS). Current clinical pupil assessment is limited to qualitative examination, and relies on clinical judgment. Infrared (IR) video pupillography combined with image processing software offer the possibility of recording quantitative parameters. In this study we describe an IR video pupillography set-up intended for human and animal testing. As part of the validation, resting pupil diameter was measured in human subjects using the NeurOptics(™) (Irvine, CA, USA) pupillometer, to compare against that measured by our IR video pupillography set-up, and PLR was assessed in guinea pigs...
2017: Frontiers in Integrative Neuroscience
https://www.readbyqxmd.com/read/28303743/incremental-comprehension-of-pitch-relationships-in-written-music-evidence-from-eye-movements
#18
Lauren V Hadley, Patrick Sturt, Tuomas Eerola, Martin J Pickering
To investigate how proficient pianists comprehend pitch relationships in written music when they first encounter it we conducted two experiments in which proficient pianists' eyes were tracked while they read and played single-line melodies. In Experiment 1, participants played at their own speed; in Experiment 2 they played with an external metronome. The melodies were either congruent or anomalous, with the anomaly involving one bar being shifted in pitch to alter the implied harmonic structure (e.g., non-resolution of a dominant)...
March 17, 2017: Quarterly Journal of Experimental Psychology: QJEP
https://www.readbyqxmd.com/read/28302533/strabismus-measurements-in-adults-before-and-after-pupil-dilation
#19
Sean S Rivera, Michael S Lee, Scott Lunos, Jill S Anderson, Erick D Bothun
PURPOSE: To determine the effect of dilating drops on strabismus measurements in adults. DESIGN: Prospective cohort study METHODS: Patients age 18 and older with strabismus underwent a standard evaluation of ocular motility, stereopsis, and ocular alignment with alternate prism cover test by a certified orthoptist. After pupil dilation with 2.5% phenylephrine and 1% tropicamide, ocular alignment was re-measured in primary gaze at 6 meters, at 1/3 meter and at 1/3 meter with a +3...
March 13, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28300747/pathophysiology-of-dilatation-of-pupils-due-to-scorpion-and-snake-envenomation-and-its-therapeutic-value-clinical-observations
#20
Himmatrao S Bawaskar, Parag H Bawaskar, Pramodini H Bawaskar
Dilated nonreacting pupils are routinely taken as a sign of irreversible brain damage. Alpha-receptor stimulation (scorpion sting) and presynaptic acetylcholine receptor blocker (krait bite) may result in dilation of pupils without involvement of the brain. This study was aimed to clinically evaluate the response of pupils in scorpion sting and krait bite. Victims of scorpion sting and krait bite were chosen from Raigad district. Scorpion sting and krait bite cases were admitted to hospital and were clinically evaluated in detail regarding neurological manifestations...
January 2017: Indian Journal of Ophthalmology
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