
Physiological problems are the main cause of anisocoria. This is not a serious problem so you do not have to worry about the difference from the pupil. There are some people with different pupil sizes called anisocoria. Normal lighting can give you a normal pupil size of about 3.5 mm and 1.0 mm to 10 mm. Both pupils should be illuminated with the same intensity. The ophthalmoscope will become a living flashlight so that it can measure pupils from a distance. This will measure the pupil accurately and precisely. Nurses should keep the ruler out of the patient’s eyes to avoid an accommodative reaction.

This measurement is done when the eye test is not accommodating to an object. The pupils can be measured under normal light conditions using a ruler and the patient focuses on the distant objects seen before the eyes. The ruler can be replaced with a Gauge pupil. The nurse must have a millimeter ruler and a transilluminator to perform this test. This is related to narrowing of the pupil. Patients can lead to the accommodation with small targets. If the patient cannot see on the red filter, then the nurse will use another method and the patient must adjust the color. The nurse uses a distant target with three outlines to correct the patient’s eyes. The patient must eliminate the correction from the eye. This is the chart used to see normal pupils. Intraocular pressure can be determined by performing this test.


Emergencies may affect the procedures of this test. This is a procedure performed on a thorough examination and additional checks will be required for problems that cause eye health problems. Pupil testing is a very important part of this test and requires proper examination. This test has the potential to show neurological disease, retina, and so forth. Normal Perrla is the result of an eye test that states that your eyes are in normal condition.
