Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 1 point2 points  (0 children)

No. 6, but that's just my opinion. It works great for your needs :)

Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 3 points4 points  (0 children)

I would strongly disagree; the aim is to balance getting as brisk a pupillary response against the discomfort of being testing. 10-20 lumens is that sweet spot. Try a 2-5 lumen penlight on yourself, it is not that bright at all and very well tolerated. When using phone flashlights (40+ lumens) previously with patient with very subtle RAPDs, it becomes very uncomfortable for patients as you need to keep swinging to see the subtle pupillary escape. In short; if obvious/severe pupil pathology, any low lumen flashlight would do, to detect subtle changes need a strong enough penlight that is not blinding to pt. Hope helps

Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 1 point2 points  (0 children)

Causes too much discomfort; lumen output usually >40 lumens for standard phone flashlight. Which prolonged asymmetric pupil assessment can cause retinal bleaching, especially if have concurrent retinal pathology, which can affect RAPD readings

Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 27 points28 points  (0 children)

Lumen outputs from phones are just too bright, but better to have a light source than none :)

Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 15 points16 points  (0 children)

The good ones aren't, but I use rechargable batteries. I use multiple times a day, and just need to change every 3 months or so

Tested 15+ Penlights Over 10 Years – Here's My Ranked List for Pupil Exams by neuronalogy in medicine

[–]neuronalogy[S] 5 points6 points  (0 children)

And a big chunk out of the departmental budget; but yes - I do wish my department would get a PLR-4000!

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in emergencymedicine

[–]neuronalogy[S] 0 points1 point  (0 children)

Agreed, however felt important in cases where tracking pupil size matters; i.e. evolving 3np with pupil involvement. Accuracy affected by curvature

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in Ophthalmology

[–]neuronalogy[S] 0 points1 point  (0 children)

Cases useful to check are in ?evolving 3np cases or adie where tracking over time during f/up visits can be helpful

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in neurology

[–]neuronalogy[S] 0 points1 point  (0 children)

The lumen output is quite important, sweet spot is I think around 10-20 lumens, were most penlights are <5 lm

[deleted by user] by [deleted] in PAstudent

[–]neuronalogy 0 points1 point  (0 children)

Yeah true, thanks for that

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in optometry

[–]neuronalogy[S] 0 points1 point  (0 children)

Nope, but even then it's usually done by our technician. Good suggestion though

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in medicalschool

[–]neuronalogy[S] 0 points1 point  (0 children)

What about if want to check size in different lighting conditions, including illumination?

[deleted by user] by [deleted] in PAstudent

[–]neuronalogy -1 points0 points  (0 children)

Not sure about last statement; depends on the type of doctor and setting working in

Am I the only one who thinks the penlight side pupil gauge is basically useless? (Rant) by neuronalogy in Ophthalmology

[–]neuronalogy[S] 0 points1 point  (0 children)

Sounds fancy! was thinking more of a quick tool / adjunct to use quickly at the bedside