The asymmetric pupil can be subtle or disturbing, straightforward or perplexing, or even normal or abnormal. But by integrating your eye exam with the neuro exam, you can figure it out. Even if its the eye exam in a dog.

Produced by James E. Siegler. Music by Komiku, Lee Rosevere, and Milton Arias. Voiceover by Erika Mejia. BrainWaves' podcasts and online content are intended for medical education only and should not be used for routine clinical decision making, no matter how physiologic you think those pupils are.

REFERENCES

1. Liu GT, Volpe NJ, and Galetta SL. Neuro-ophthalmology: Diagnosis and management, 2nd ed., pp. 587-610. Elsevier, 2010.