Clayman H M
J Am Intraocul Implant Soc. 1981 Jan;7(1):24-7. doi: 10.1016/s0146-2776(81)80092-4.
Many of the currently used lens implants are iris fixated and change pupillary shape. Concomitant iris surgery and posterior synechiae can make evaluation of pupillary responses difficult in the implanted patient. Pupillary evaluation if critical to neuro-ophthalmic diagnosis, and the presence or absence of a Marcus Gunn pupil is the most common clinical entity likely to be evaluated in the age group of patients with intraocular lenses. A Marcus Gunn pupil can be diagnosed when only one pupil is functional.
目前使用的许多晶状体植入物是虹膜固定的，会改变瞳孔形状。同时进行的虹膜手术和后粘连会使植入患者的瞳孔反应评估变得困难。瞳孔评估对于神经眼科诊断至关重要，而有无Marcus Gunn瞳孔是人工晶状体患者年龄组中最可能被评估的常见临床情况。当只有一个瞳孔有功能时，可诊断为Marcus Gunn瞳孔。
