Marcus Gunn pupil sign

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The Marcus Gunn pupil sign , named after the Scottish ophthalmologist Robert Marcus Gunn , is a relative afferent pupillary defect (RAPD) with a reduced light reaction on the affected side. It can be triggered as a clinical symptom by an ophthalmological examination, the swinging flashlight test , for example in the case of retrobulbar neuritis . The Marcus Gunn pupil sign is an important finding for the detection of a unilateral lesion of the optic nerve . It can also be found in retinal diseases and glaucoma patients with correspondingly pronounced visual field defects .

See also

literature

  • Herbert Kaufmann (Ed.): Strabismus. 4th fundamentally revised and expanded edition, with Heimo Steffen, Georg Thieme Verlag, Stuttgart, New York 2012, ISBN 3-13-129724-7 , pp. 491–493.

Individual evidence

  1. Robert Marcus Gunn at whonamed-it
  2. Peter Berlit: Clinical Neurology . Verlag Springer Science & Business Media, 2005. ISBN 978-3-540-01982-4 , p. 366 ff.
  3. ^ Albert J. Augustin: Ophthalmology . Springer-Verlag, 2013. ISBN 978-3-66-205922-7 , p. 145.
  4. Claudio L. Bassetti, Marco Mumenthaler: Neurologische Differentialdiagnostik. 6th edition, Thieme, 2012, ISBN 978-3-13-592406-9 , p. 227.
  5. Mark Dennis, William Talbot Bowen, Lucy Cho: Understanding Symptoms - Interpretation of Clinical Signs. Verlag Elsevier Health Sciences, 2019. ISBN 978-3-437-09664-8 , p. 379 ff.
  6. K. Skorkovská1, H. Wilhelm, H. Lüdtke, B. Wilhelm: Relative afferent pupillary defect in glaucoma . From Clinical Monthly Ophthalmology 2011, Georg Thieme Verlag. DOI: 10.1055 / s-0031-1273356.