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32 Results Found

  • Article
  • Open Access
15 Citations
3,905 Views
9 Pages

Difference in Pupillary Diameter as an Important Factor for Evaluating Amplitude of Accommodation: A Prospective Observational Study

  • Miyuki Kubota,
  • Shunsuke Kubota,
  • Hidenaga Kobashi,
  • Masahiko Ayaki and ,
  • Kazuno Negishi and
  • Kazuo Tsubota
  • + 1 author+ 0 author

18 August 2020

Presbyopia is increasing globally due to aging and the widespread use of visual display terminals. Presbyopia is a decrease in the eye’s amplitude of accommodation (AA) due to loss of crystalline lens elasticity. AA differs widely among individ...

(This article belongs to the Special Issue Ophthalmic Optics and Visual Function)
  • Article
  • Open Access
1 Citations
783 Views
15 Pages

Webcam-Based Pain Measurement Using Pupillary Diameter

  • Natalia Shamantseva,
  • Arseniy Polyakov,
  • Vsevolod Lyakhovetskii,
  • Margarita Bystrova and ,
  • Ivan Sakun,
  • Sergey Ananyev,
  • Yury Gerasimenko and
  • Tatiana Moshonkina
  • + 3 authors+ 0 author

29 April 2026

Pupillometry can be used as a method for monitoring pain. There are experimental conditions under which standard pupillometry equipment cannot be used. Studying the effects of different pulse forms used for transcutaneous spinal cord stimulation (tSC...

(This article belongs to the Section Biomedical Sensors)
  • Article
  • Open Access
120 Citations
13,493 Views
14 Pages

The Role of Back Optic Zone Diameter in Myopia Control with Orthokeratology Lenses

  • Jaume Pauné,
  • Silvia Fonts,
  • Lina Rodríguez and
  • Antonio Queirós

18 January 2021

We compared the efficacy of controlling the annual increase in axial length (AL) in myopic Caucasian children based on two parameters: the back optic zone diameter (BOZD) of the orthokeratology (OK) lens and plus power ring diameter (PPRD) or mid-per...

(This article belongs to the Special Issue New Frontiers in Myopia Progression in Children)
  • Article
  • Open Access
5 Citations
3,682 Views
10 Pages

11 February 2024

Background: Concussion examination is based primarily on clinical evaluation and symptomatic reporting. Pupillary light reflex (PLR) metrics may provide an objective physiological marker to inform concussion diagnosis and recovery, but few studies ha...

  • Article
  • Open Access
8 Citations
8,113 Views
16 Pages

3 February 2021

Pupillary alterations in virtual humans induce neurophysiological responses within an observer. Technological advances have enabled rapid developments in artificial intelligence (AI), from verbal systems, to visual AI interfaces with the ability to e...

(This article belongs to the Section Intelligent Sensors)
  • Article
  • Open Access
1 Citations
1,132 Views
11 Pages

Background: Vestibular migraine (VM) is a common cause of episodic vertigo, yet its diagnosis remains primarily clinical and is often complicated by the absence of reliable objective biomarkers. Pupillary nystagmus, reflecting spontaneous oscillation...

(This article belongs to the Section Balance)
  • Article
  • Open Access
19 Citations
1,058 Views
13 Pages

Pupillary Dilation Response Reflects Surprising Moments in Music

  • Hsin-I Liao,
  • Makoto Yoneya,
  • Makio Kashino and
  • Shigeto Furukawa

14 December 2018

There are indications that the pupillary dilation response (PDR) reflects surprising moments in an auditory sequence such as the appearance of a deviant noise against repetitively presented pure tones (Liao, Yoneya, Kidani, Kashino, & Furukawa, 2...

  • Study Protocol
  • Open Access
3 Citations
4,989 Views
6 Pages

Atypical Pupil Reactions in Brain Dead Patients

  • Joanna Sołek-Pastuszka,
  • Małgorzata Zegan-Barańska,
  • Jowita Biernawska,
  • Marcin Sawicki and ,
  • Waldemar Iwańczuk,
  • Kornel Chełstowski,
  • Romuald Bohatyrewicz,
  • Wojciech Dąbrowski and
  • Klaudyna Kojder
  • + 4 authors+ 0 author

10 September 2021

Background: During routine diagnosis of brain death, changes in pupil diameter in response to the stimulation of peripheral nerves are sometimes observed. For example, pupillary dilation after diagnosed brain death is described in the literature as t...

  • Article
  • Open Access
19 Citations
6,219 Views
19 Pages

6 July 2021

Both physiological and neurological mechanisms are reflected in pupillary rhythms via neural pathways between the brain and pupil nerves. This study aims to interpret the phenomenon of motion sickness such as fatigue, anxiety, nausea and disorientati...

(This article belongs to the Section Sensing and Imaging)
  • Review
  • Open Access
26 Citations
10,134 Views
18 Pages

21 November 2018

With recent advances in technology, there has been growing interest in use of eye-tracking and pupillometry to assess the visual pathway in autism spectrum disorder (ASD). Within emerging literature, an atypical pupillary light reflex (PLR) has been...

  • Article
  • Open Access
7 Citations
3,179 Views
11 Pages

Dynamic Pupillary Response in Multiple Sclerosis Patients with and without Optic Neuritis

  • Amparo Gil-Casas,
  • David P. Piñero and
  • Ainhoa Molina-Martín

17 December 2023

Multiple sclerosis (MS) is a neurodegenerative disease that affects the central nervous system which produces abnormalities in visual function, as disturbed pupillary responses, even after an episode of optic neuritis (ON). The aim was to assess diff...

(This article belongs to the Special Issue Neurodegenerative Diseases: Recent Advances and Future Perspectives)
  • Article
  • Open Access
10 Citations
1 Views
7 Pages

Pupillary Responses to Single and Sinusoidal Light Stimuli in Diabetic Patients

  • Wolfgang H. Zangemeister,
  • Thilo Gronow and
  • Ulrich Grzyska

16 November 2009

We examined effects of diabetes mellitus (DM) on the pupillary light reflex (PLR). Phasic pupillary response to a single light stimulus (200 ms) (pPLR) and to continuous sinusoidal stimuli with four different frequencies (0.1, 0.3, 0.7, 1.3Hz) (cPLR)...

  • Article
  • Open Access
182 Views
21 Pages

24 October 2026

Background/Objectives: Quantitative pupillometry objectively assesses neurological status and has demonstrated prognostic value after cardiac arrest. Nonetheless, it remains unclear whether longitudinal changes in quantitative pupillary parameters ar...

(This article belongs to the Special Issue The Use of Portable Devices in Emergency Medicine, Second Edition)
  • Article
  • Open Access
6 Citations
5,048 Views
10 Pages

Determination of Optic Axes by Corneal Topography among Italian, Brazilian, and Chinese Populations

  • Bernardo T. Lopes,
  • Ashkan Eliasy,
  • Mohamed Elhalwagy,
  • Riccardo Vinciguerra and ,
  • Fangjun Bao,
  • Paolo Vinciguerra,
  • Renato Ambrósio,
  • Ahmed Elsheikh and
  • Ahmed Abass
  • + 4 authors+ 0 author

23 February 2021

This study aims to describe a new universal method to identify the relative three-dimensional directions of visual, pupillary, and optical axes of the eye and the angles between them using topography elevation data. The method was validated in a larg...

(This article belongs to the Special Issue Visual Optics and Ophthalmology)
  • Article
  • Open Access
14 Citations
10,239 Views
13 Pages

ASMR as Idiosyncratic Experience: Experimental Evidence

  • Chiara Pedrini,
  • Lorena Marotta and
  • Andrea Guazzini

The Autonomous Sensory Meridian Response (ASMR) is a tingling sensation across the scalp that occur in response to specific triggering audio and visual stimuli, connected with the Default Mode Network. Our study (N = 76) aimed to test the neurophysio...

(This article belongs to the Special Issue Human Health Dynamics in the Mobile and Big Data Era)
  • Article
  • Open Access
1 Citations
1,231 Views
18 Pages

23 January 2026

This paper presents the design and feasibility evaluation of a low-cost, head-mounted pupil dilation tracking system based on computer vision. The proposed solution employs a standard webcam and active infrared illumination, enabling stable eye image...

(This article belongs to the Section Computing and Artificial Intelligence)
  • Article
  • Open Access
1 Citations
935 Views
13 Pages

Pupillometry as a Novel Tool for Pain Monitoring: Evaluating the Antinociceptive Effect of Intravenous Lidocaine During Orotracheal Intubation

  • Małgorzata Braczkowska-Skibińska,
  • Ewa Lepiarczyk,
  • Lidia Glinka,
  • Iwona Piotrowicz and ,
  • Paweł Radkowski,
  • Ewa Mayzner-Zawadzka and
  • Marta Majewska
  • + 2 authors+ 0 author

28 February 2026

Background/Objectives: Pupillometry offers a non-invasive method for assessing nociceptive responses during anesthesia. This study aimed to evaluate the effects of intravenous lidocaine on pupillary reflex dilation (PDR) and the Pupillary Pain Index...

(This article belongs to the Section Otolaryngology)
  • Article
  • Open Access
1 Citations
3,101 Views
17 Pages

Evaluation of Pupillometry for CYP2D6 Phenotyping in Children Treated with Tramadol

  • Frédérique Rodieux,
  • Flavia Storelli,
  • François Curtin,
  • Sergio Manzano and ,
  • Alain Gervaix,
  • Klara M. Posfay-Barbe,
  • Jules Desmeules,
  • Youssef Daali and
  • Caroline F. Samer
  • + 4 authors+ 0 author

30 August 2023

Following the contraindication of codeine use in children, increasing use of tramadol has been observed in pain management protocols. However, tramadol’s pharmacokinetics (PK) and pharmacodynamics are influenced by cytochrome P450 (CYP)2D6 acti...

(This article belongs to the Special Issue Pharmacology of Pediatric Medicines)
  • Article
  • Open Access
43 Citations
10,445 Views
24 Pages

The Pupillary Light Reflex as a Biomarker of Concussion

  • Frederick Robert Carrick,
  • Sergio F. Azzolino,
  • Melissa Hunfalvay,
  • Guido Pagnacco and ,
  • Elena Oggero,
  • Ryan C. N. D’Arcy,
  • Mahera Abdulrahman and
  • Kiminobu Sugaya
  • + 3 authors+ 0 author

18 October 2021

The size of our pupils changes continuously in response to variations in ambient light levels, a process known as the pupillary light reflex (PLR). The PLR is not a simple reflex as its function is modulated by cognitive brain function and any long-t...

(This article belongs to the Section Cell Biology and Tissue Engineering)
  • Article
  • Open Access
4 Citations
3,587 Views
11 Pages

Temporal Change in Anterior Chamber Depth after Combined Vitrectomy and Cataract Surgery Using Different Sizes of Intraocular Lens

  • Yoshiaki Takahashi,
  • Takao Hirano,
  • Marie Nakamura,
  • Yoshiaki Chiku and ,
  • Ken Hoshiyama,
  • Satoko Akahane,
  • Keita Akahane and
  • Toshinori Murata
  • + 3 authors+ 0 author

30 October 2022

This study aimed to investigate the temporal changes in the anterior chamber depth (ACD) and refractive prediction error (RPE) of 6 and 7 mm diameter intraocular lenses (IOLs) after cataract surgery or phacovitrectomy with or without sulfur hexafluor...

(This article belongs to the Special Issue Recent Clinical Advances in Macular Degeneration and Retinal Diseases)
  • Article
  • Open Access
3 Citations
3,090 Views
12 Pages

PROMISE: Prognostic Radiomic Outcome Measurement in Acute Subdural Hematoma Evacuation Post-Craniotomy

  • Alexandru Guranda,
  • Antonia Richter,
  • Johannes Wach,
  • Erdem Güresir and
  • Martin Vychopen

10 January 2025

Background/Objectives: Traumatic acute subdural hematoma (aSDH) often requires surgical intervention, such as craniotomy, to relieve mass lesions and pressure. The extent of hematoma evacuation significantly impacts patient outcomes. This study utili...

(This article belongs to the Section Neurosurgery and Neuroanatomy)
  • Article
  • Open Access
4 Citations
4,353 Views
12 Pages

Smartphone-Based Pupillometry Using Machine Learning for the Diagnosis of Sports-Related Concussion

  • Anthony J. Maxin,
  • Bridget M. Whelan,
  • Michael R. Levitt,
  • Lynn B. McGrath and
  • Kimberly G. Harmon

3 December 2024

Background: Quantitative pupillometry has been proposed as an objective means to diagnose acute sports-related concussion (SRC). Objective: To assess the diagnostic accuracy of a smartphone-based quantitative pupillometer in the acute diagnosis of SR...

(This article belongs to the Special Issue The Assessment, Diagnosis, and Management of Sport-Related Concussion in Childhood and Adolescence)
  • Article
  • Open Access
20 Citations
4,374 Views
12 Pages

Instrumental Evaluation of COVID-19 Related Dysautonomia in Non-Critically-Ill Patients: An Observational, Cross-Sectional Study

  • Simone Bellavia,
  • Irene Scala,
  • Marco Luigetti,
  • Valerio Brunetti and ,
  • Maurizio Gabrielli,
  • Lorenzo Zileri Dal Verme,
  • Serenella Servidei,
  • Paolo Calabresi,
  • Giovanni Frisullo and
  • Giacomo Della Marca
  • + 5 authors+ 0 author

14 December 2021

Coronavirus disease-19 (COVID-19) is a predominantly respiratory syndrome. Growing reports about a SARS-CoV-2 neurological involvement, including autonomic dysfunction (AD), have been reported, mostly in critically-ill patients, or in the long-COVID...

(This article belongs to the Special Issue Clinical Health Care during the COVID-19 Pandemic: Therapeutic and Management Strategies)
  • Article
  • Open Access
3 Citations
1,562 Views
12 Pages

KEPPRA: Key Epilepsy Prognostic Parameters with Radiomics in Acute Subdural Hematoma Before Craniotomy

  • Alexandru Guranda,
  • Antonia Richter,
  • Johannes Wach,
  • Erdem Güresir and
  • Martin Vychopen

16 February 2025

Background: Acute subdural hematoma (aSDH) is associated with a high risk of epilepsy, a complication linked to poor outcomes. Craniotomy is a known risk factor, with an epilepsy incidence of approximately 25%. This study evaluated radiomic features...

(This article belongs to the Section Neurosurgery and Neuroanatomy)
  • Review
  • Open Access
5 Citations
2,235 Views
21 Pages

Pupillary Hippus as a Biomarker: Spectral Signatures and Complexity Approaches in Autonomic and Clinical Contexts

  • Vincenzo Rizzuto,
  • Marco Laurino,
  • Roberto Montanari,
  • Angelo Gemignani and ,
  • Michele Figus,
  • Giuseppe Covello,
  • Niccolò Candelise,
  • Davide Borroni,
  • Guna Laganovska and
  • Luca Mesin
  • + 5 authors+ 0 author

Pupillary hippus, i.e., the spontaneous bilateral oscillation of pupil diameter under constant illumination, provides a non-invasive window into autonomic and central nervous system dynamics. Despite decades of research, a unified framework linking i...

(This article belongs to the Section Biosignal Processing)
  • Brief Report
  • Open Access
6 Citations
1,880 Views
7 Pages

Modified “C” Haptic Intraocular Lens Orientation and Negative Dysphotopsia

  • Valeria Cuevas-Lozano,
  • Rosario Gulias-Cañizo and
  • Oscar Guerrero-Berger

Phacoemulsification is the standard of care in cataract surgery in the developed world, with patients having high expectations regarding visual results. Postoperative dissatisfaction due to negative dysphotopsia (ND) ranges from rare to very frequent...

(This article belongs to the Special Issue Advances in Diagnostics of the Cornea, Cataract and Refractive Surgery)
  • Article
  • Open Access
726 Views
12 Pages

Introduction: Previous studies have shown those with a history of a traumatic brain injury (TBI) have altered pupillary light responses compared with those without a history of TBI. Those with a history of TBI are also more likely to have accommodati...

  • Article
  • Open Access
2 Citations
1,073 Views
12 Pages

Evaluation of Stereopsis Performance, Gaze Direction and Pupil Diameter in Post-COVID Syndrome Using Machine Learning

  • Thomas S. Knauer,
  • Christian Y. Mardin,
  • Jürgen Rech,
  • Georg Michelson and ,
  • Andreas Stog,
  • Julia Zott,
  • Fritz Steußloff,
  • Moritz Güttes,
  • Helena Sarmiento and
  • Julia Schottenhamml
  • + 8 authors+ 3 authors

20 November 2025

Background/Objectives: Post-COVID syndrome (PCS) encompasses symptoms that persist for at least 12 weeks after the onset of a COVID-19 infection and cannot be explained by other causes. The most common symptoms are fatigue, cognitive impairments, and...

(This article belongs to the Special Issue Latest Research in Post-COVID (Long COVID): Pathological and Treatment Studies of Sequelae and Complications—3rd Edition)
  • Article
  • Open Access
4 Citations
3,286 Views
16 Pages

Pupillary Light Response Deficits in 4-Week-Old Piglets and Adolescent Children after Low-Velocity Head Rotations and Sports-Related Concussions

  • Anna Oeur,
  • Mackenzie Mull,
  • Giancarlo Riccobono,
  • Kristy B. Arbogast and ,
  • Kenneth J. Ciuffreda,
  • Nabin Joshi,
  • Daniele Fedonni,
  • Christina L. Master and
  • Susan S. Margulies
  • + 4 authors+ 0 author

Neurological disorders and traumatic brain injury (TBI) are among the leading causes of death and disability. The pupillary light reflex (PLR) is an emerging diagnostic tool for concussion in humans. We compared PLR obtained with a commercially avail...

(This article belongs to the Special Issue Porcine Models of Neurotrauma and Neurological Disorders)
  • Article
  • Open Access
11 Citations
6,304 Views
11 Pages

Measuring the Pupillary Light Reflex Using Portable Instruments in Applied Settings

  • Nicola S. Gray,
  • Menna Price,
  • Jennifer Pink,
  • Chris O’Connor and ,
  • Ana Antunes and
  • Robert J. Snowden
  • + 1 author+ 0 author

1 October 2024

The early components of the pupillary light reflex (PLR) are governed by the parasympathetic nervous system. The use of cheap, portable pupillometry devices may allow for the testing of parasympathetic-system health in field settings. We examined the...

  • Article
  • Open Access
1,625 Views
22 Pages

Pain Outcome Determines the Sensitivity to Peripheral Opioid Antagonism of Morphine, Ibuprofen, and Their Combination in Laparotomized Mice

  • Makeya A. Hasoun,
  • Miriam Santos-Caballero,
  • Miguel Á. Huerta,
  • María Robles-Funes and ,
  • Amada Puerto-Moya,
  • M. Carmen Ruiz-Cantero,
  • Enrique J. Cobos and
  • Rafael González-Cano
  • + 3 authors+ 0 author

Background/Objectives: Postoperative pain pharmacology is complex. We investigated the sensitivity of analgesic-like effects induced by morphine, ibuprofen, and their combination to peripheral opioid antagonism in a mouse laparotomy model. Methods: M...

(This article belongs to the Section Clinical Pharmaceutics)
  • Article
  • Open Access
454 Views
18 Pages

Background: Early and objective identification of cognitive decline in aging populations remains a clinical challenge. Pupillary light reflex (PLR) and eye movement parameters represent non-invasive, quantitative biomarkers of autonomic and central n...

(This article belongs to the Special Issue Advances in Diagnostic Options and Treatment Strategies for Neurological Disorders)