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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 24 (1983), S. 330-332 
    ISSN: 1432-0428
    Keywords: Pupillary light reflex ; pupillary diameter ; diabetic neuropathy ; autonomic dysfunction ; age
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Infrared television pupillometry was performed in 71 healthy and 66 insulin-treated diabetic subjects. Resting pupil diameter and the amplitude of the reflex response to standard light flashes were measured in background darkness. In the healthy subjects with small pupils (〈6 mm) the size of the light reflex was found to depend on the diameter of the pupil in darkness, the former decreasing by 0.55 mm/mm decrease in diameter. A positive correlation was also found in the diabetic subjects with small pupils but the reflexes were much smaller for a given resting diameter than in healthy subjects. The majority of the diabetic patients with small pupils had autonomic neuropathy. It is suggested that impaired pupillary dilatation in diabetic subjects is due to a sympathetic neuropathy and the small light reflex response in some patients is due to parasympathetic dysfunction in addition.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1041
    Keywords: pupillometry ; light reflex ; atropine ; nortryptyline ; procyclidine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Single oral doses of atropine, nortriptyline, procyclidine and lactose dummy were administered double-blind to eight healthy young subjects in a balanced, crossover study. Television pupillometry was used to measure the anticholinergic effects of these drugs on the pupil diameter in darkness and the reflex response to light flashes. The sensitivity of this method was compared with conventional autonomic function tests, viz. salivary secretion, radial pulse, forearm sweat gland activity and distance to visual near point. Visual analogue scales were used to obtain subjective measures of sedative drug effects. The expected inhibition of parasympathetic activity was found in most instances with two exceptions: firstly, that nortriptyline failed to affect the pupil despite causing a tachycardia and secondly, that procyclidine gave a bradycardia. The results are discussed with reference to the possible advantages of television pupillometry over conventional pupil measurement in the detection of anticholinergic drug effects.
    Type of Medium: Electronic Resource
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