Presence of relative afferent pupillary defect
carries a poor prognosis as it denotes injury to optic nerve & retina.
Data extracted from the medical records included: age, sex, affected eye (left and/or right), type of injury, diagnostic aids used (orbital computed axial tomography (CAT), ocular ultrasound) treatment conducted (medical and surgical), length of hospital stay (1-7 days 8-14 days 15-30 days more than 30 days), presence or absence of an afferent pupillary defect
in the initial evaluation and at the time of discharge (alive or dead).
There was total afferent pupillary defect
in the left eye.
Relative afferent pupillary defect
in patients with asymmetric cataracts.
1%), primary optic atrophy in 7 (25%) with Relative Afferent Pupillary Defect
(RAPD) and visual acuity ranging from 3/60 to no perception of light [Table 1].
Paradoxical dilation of the affected eye when directly exposed to the light is evidence of a relative afferent pupillary defect
Her pupils were isochoric and a relative afferent pupillary defect
was observed in her right eye.
Patients will also reveal a relative afferent pupillary defect
in the affected eye.
1) Additional useful signs are chemosis of bulbar conjunctiva, reduced visual acuity, afferent pupillary defect
and toxic systemic symptoms.
An afferent pupillary defect
signifies sight-threatening disease.
The patient, who had no color vision and had right relative afferent pupillary defect
(RAPD), was treated with intravenous pulse steroid therapy (intravenous metil-prednisolone, 1000 mg/ day, for three days).