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Interpretation of the dilated pupil during endoscopic sinus surgery

Published online by Cambridge University Press:  29 June 2007

J. D. T. Mason
Affiliation:
Department of ENT-Head and Neck Surgery, Royal Bolton Hospital, Bolton, UK.
R. J. Haynes
Affiliation:
Departments of Otorhinolaryngology – Head and Neck Surgery and Ophthalmology, University Hospital, Nottingham, UK.
N. S. Jones*
Affiliation:
Departments of Otorhinolaryngology – Head and Neck Surgery and Ophthalmology, University Hospital, Nottingham, UK.
*
Address for correspondence: N. S. Jones, Department of Otorhinolaryngology – Head and Neck Surgery, University Hospital, Nottingham NG7 2UH.

Abstract

This article describes the anatomy of the visual pathways and how they should be assessed under anaesthesia. The differential diagnosis of asymmetrical pupils is illustrated with clinical examples and a strategy as to how they should be examined.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1998

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References

Allbright, A. L., Sclabassi, R. J. (1985) Cavitron ultrasonic aspirator and visual evoked potential monitoring for chiasmal gliomas in children. Journal of Neurosurgery 63: 138140.CrossRefGoogle Scholar
Bajandas, F. J., Kline, L. B. (1988) The pupil. In: Neuro-ophthalmology Review Manual. Chap. 8 Slack, New Jersey, pp 113124.Google Scholar
Cedzich, C., Schramm, J., Fahlbusch, R. (1987) Are flash evoked potentials useful for intraoperative monitoring of visual pathway function? Neurosurgery 21: 709715.CrossRefGoogle ScholarPubMed
Jones, N. S. (1997) Visual evoked potentials in endoscopic and anterior skull base surgery. Journal of Laryngology and Otology 111: 513516.CrossRefGoogle ScholarPubMed
Martin, P. R., Lovinger, D. M., Breese, G. R. (1996) Alcohol and other abused substances. In Principles of Pharmacology. Chapman & Hall, New York, pp 431435.Google Scholar
Palma, V., Guadagnino, M. (1990) Electrophysiological monitoring of neuronal functions during neurosurgery. Acta Neurologica 12: 481504.Google Scholar
Radius, R., Anderson, D. (1981) Reversibility of optic nerve damage in primate eyes subjected to intraocular pressure above systolic blood pressure. British Journal of Ophthalmology 65: 661672.CrossRefGoogle ScholarPubMed
Raudzens, P. A. (1982) Intraoperative monitoring of evoked potentials. Annals of the New York Academy of Science 388: 389403.CrossRefGoogle ScholarPubMed
Ruffolo, R. R., Tendelenberg, U. G., Langer, S. Z. (1996) Chemical neurotransmission: peripheral autonomic nervous system. In Principles of Pharmacology. Chapman & Hall, New York, pp 5862.Google Scholar
Wright, J. E., Arden, G., Jones, B. R. (1973) Continuous monitoring of the visually evoked response during intra-orbital surgery. Transactions of the Ophthalmological Society of the United Kingdom 93: 311314.Google ScholarPubMed