TY - JOUR T1 - Assessment of unilateral afferent pupillary defects by pupillography. JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 195 LP - 199 DO - 10.1136/bjo.63.3.195 VL - 63 IS - 3 AU - P N Fison AU - D J Garlick AU - S E Smith Y1 - 1979/03/01 UR - http://bjo.bmj.com/content/63/3/195.abstract N2 - A pupillographic technique, an adaptation of the swinging light test, is described for the measurement of unilateral afferent pupillary defects. In normal persons it yielded accurate, reproducible estimates of the magnitude of artificial afferent defects made with neutral filters of 1 to 4 log units density. In 15 studies on 8 patients with unilateral optic neuritis and 2 with unilateral compressive lesions the measured afferent pupillary defects correlated closely with both visual acuity and visual threshold deficits. Measurement of the pupillary defect underestimated severe degrees of impairment revealed by visual threshold determination. Discrepancies between pupillary defect and visual acuity were observed in the 2 patients with compressive lesions and in 1 patient who had a central scotoma 4 months after an attack of optic neuritis. ER -