Stonex Tara M, Bartoe Joshua T, Aguirre Gustavo D
Section of Ophthalmology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Ophthalmology Services, MPI Research, Mattawan, MI, 49071, USA.
Vet Ophthalmol. 2018 Jan;21(1):104-107. doi: 10.1111/vop.12469. Epub 2017 Apr 4.
The pupillary light reflex (PLR) is a routinely utilized clinical test to quickly assess integrity of subcortical light perception pathways in patients. While interpretation is simple for ophthalmologists, interestingly discrepancy occurs in annotation of the test results, especially for the consensual response. An email survey sent to diplomates of either the American or European Colleges of Veterinary Ophthalmologists (ACVO and ECVO, respectively), requesting use of a 'direct/consensual' annotation convention, showed 58% of respondents preferred one convention while 39% preferred a different convention. The majority preferred convention was different between ACVO and ECVO respondents. Standardization of PLR annotation convention across specialists is recommended for clarity in medical record keeping and communication among colleagues.
瞳孔对光反射（PLR）是一项常规使用的临床检查，用于快速评估患者皮质下光感知通路的完整性。虽然眼科医生对其解读很简单，但有趣的是，在测试结果的标注方面存在差异，尤其是对同感性反应的标注。一项发送给美国或欧洲兽医眼科医师学院（分别为ACVO和ECVO）的专科医师的电子邮件调查，要求使用“直接/同感性”标注惯例，结果显示58%的受访者偏好一种惯例，而39%的受访者偏好另一种惯例。ACVO和ECVO的受访者中多数偏好的惯例不同。建议在各专科之间对PLR标注惯例进行标准化，以确保病历记录的清晰以及同事之间的沟通顺畅。
