A RAPD can still be detected even if one pupil cannot change size (i.e. it is fixed), because of trauma, posterior synechiae or because dilating or constricting eye drops have been used (Figure 4). Having established that the pupil of one eye does not cha
The 'swinging light test' is used to detect a relative afferent pupil defect (RAPD): a means of detecting differences between the two eyes in how they respond to a light shone in one eye at a time.
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