Syunsuke Araki
   Department   Kawasaki University of Medical Welfare  ,
   Position   Instructor
Article types 原著
Language English
Peer review Peer reviewed
Title Relative Afferent Pupillary Defects in Homonymous Visual Field Defects Caused by Stroke of the Occipital Lobe Using Pupillometer.
Journal Formal name:Neuro-ophthalmology (Aeolus Press)
Abbreviation:Neuroophthalmology
ISSN code:01658107/01658107
Domestic / ForeginForegin
Volume, Issue, Page 42(3),pp.139-145
Author and coauthor Go Takizawa, Atsushi Miki, Fumiatsu Maeda, Katsutoshi Goto, Syunsuke Araki, Tsutomu Yamashita, Yoshiaki Ieki, Junichi Kiryu, Kiyoshi Yaoeda
Publication date 2018/06
Summary Relative afferent pupillary defects (RAPD) may be detected in patients with occipital lobe lesions. However, no previous report has used an objective technique to record the abnormal pupillary light reflex in such cases. Therefore, we measured the pupillary light reflex objectively in 15 patients with homonymous visual field defects (HVFD) due to occipital stroke using a new pupillometer. This study detected significantly smaller and slower pupillary light reflexes in the contralateral eyes than in the other eyes, which is equivalent to the presence of RAPD in patients with HVFDs caused by retrogeniculate lesions using an objective technique. Our results confirmed those of the previous reports using the swinging flashlight test more objectively.
DOI 10.1080/01658107.2017.1367012
PMID 29796045