abstract

• Objective: The examination of pupillary light reflexes is widely employed to evaluate the autonomic system’s balance, ocular, and neurological conditions, typically evaluated by qualitative observation. To describe and evaluate the inter-rater reliability and agreement of pupillometric values obtained with a novel semi-automatic mobile pupillography app. Methods: Two examiners and two graders perform the measurements with an android app which corrects the device-face distance, measure the maximum contraction of the pupil, and calculates its slope, in a hospital room setting with three levels of environmental light intensity: <100, 101 to 200, and 201 to 300 lux, at 200, 400, 600, 900, 1200, and 1500 milliseconds. Results: Sixty healthy individuals, aged 18 to 45, were included; 85%25 had brown eyes. The reliability of the pupil/iris ratio had Ri = 70%25 to 88%25, and bland Altman graphics show a uniform agreement. The pupillography curves show a similar slope at different light intensities, during the contraction phase. Conclusion: There were very good repeatability and inter-rater reproducibility of the measurements at average levels of illumination in examination rooms, even in dark-eyed people. This app provides a highly promising approach to pupillary measurements in clinical practice. © The Author(s) 2020.

authors

• Fonseca Leal Ma. del Pilar
• Hernández Gómez C.A.
• Hernández Sierra Juan Francisco
• Hernández-Gómez J.F.
• Tellez-Quijada F.

publication date

• 2020-01-01

published in

• European Journal of Ophthalmology  Journal

keywords

• Neuro imaging; neuro ophthalmology; neuro-ophthalmic disease; optics/refraction/instruments; pediatric ophthalmology; practice management; preventive medicine/screening; socioeconomics and education in medicine/ophthalmology

Digital Object Identifier (DOI)

• 10.1177/1120672120949752

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