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Pupil Assessment (PERRLA)
Comprehensive pupillary response assessment for neurological evaluation
Pupil Size
Assess pupil size in normal lighting conditions
Left Eye
Right Eye
Light Reactivity
Test pupillary response to bright light
Left Eye
Right Eye
Additional Assessment
Equality and accommodation testing
Pupil Equality
Accommodation
PERRLA Assessment Guide
PERRLA Acronym:
- Pupils
- Equal
- Round
- Reactive to
- Light and
- Accommodation
Assessment Tips:
- Use bright penlight or phone flashlight
- Test both direct and consensual response
- Approach light from the side to avoid accommodation
- Compare both eyes simultaneously when possible
Critical Findings:
- Fixed dilated pupils (blown pupil)
- Anisocoria >1mm difference
- Non-reactive pupils in conscious patient
- Pinpoint pupils with altered LOC
Assessment Summary
Left Size:Not assessed
Left Reactivity:Not assessed
Right Size:Not assessed
Right Reactivity:Not assessed
Equality:Not assessed
Accommodation:Not assessed
Status:Incomplete