{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:34Z","timestamp":1786649554434,"version":"build-2736575974"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:p>As ophthalmologists, we often come across a lot of patients with neuro-ophthalmological disorders that show no positive examination findings except for subtle abnormalities in the pupillary light reflex. However, these subtle changes are often overlooked in a busy OPD setting, especially by junior doctors and nursing staff. Thus, we decided to develop an innovation to simplify the assessment of pupillary reflexes, which we have named PUPILLARY REFLEX AT EASE. Our plan involved magnifying the iris and pupil using biconvex lenses to facilitate the visualization of the response. Additionally, we proposed setting up an inbuilt electrical circuit for illuminating the eyes. To elicit consensual reflexes, we decided to dissociate the eyes and provide ambient illumination using low-voltage light bulbs. This represents a simple attempt to address a common challenge faced by clinicians.<\/jats:p>","DOI":"10.4103\/ijo.ijo_717_24","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T05:00:40Z","timestamp":1748581240000},"page":"S508-S510","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["PUPILLARY REFLEX AT EASE: A new instrument for the demonstration of Pupillary reflex"],"prefix":"10.4103","volume":"73","author":[{"given":"Allapitchai","family":"Fathima","sequence":"first","affiliation":[{"name":"Departments of Paediatric Ophthalmology and Adult Strabismus, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveena","family":"Shyam","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Ophthalmology and Adult Strabismus, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivam","family":"Gupta","sequence":"additional","affiliation":[{"name":"Glaucoma, Aravind Eye Hospital and Postgraduate Institute, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Departments of Paediatric Ophthalmology and Adult Strabismus, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.cardfail.2018.09.009","article-title":"Pupillary light reflex as a new prognostic marker in patients with heart failure","volume":"25","author":"Nozaki","year":"2019","journal-title":"J Card Fail"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"e0272303.","DOI":"10.1371\/journal.pone.0272303","article-title":"Superior reproducibility and repeatability in automated quantitative pupillometry compared to standard manual assessment, and quantitative pupillary response parameters present high reliability in critically ill cardiac patients","volume":"17","author":"Nyholm","year":"2022","journal-title":"PLoS One"},{"key":"R5-20260422","first-page":"1","article-title":"Automated pupillometry in space neuroscience","volume":"37","author":"Shirah","year":"2023","journal-title":"Life Sci Space Res (Amst)"},{"key":"R6-20260422","first-page":"779","article-title":"Prognostic value of automated pupillometry: An unselected cohort from a cardiac intensive care unit","volume":"9","author":"Obling","year":"2020","journal-title":"Eur Heart J Acute Cardiovasc Care"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_717_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:20Z","timestamp":1786647320000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_717_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,30]]},"references-count":4,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_717_24","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,30]]},"assertion":[{"value":"2024-03-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}