Marcus Gunn Pupil

Marcus Gunn Pupil

Marcus Gunn pupil which is also known as Afferent Pupillary Defect(APD) a condition of the eye where the pupil does not dilate appropriately to the level of light reaching it, resulting in one pupil appearing larger than the other.

Causes

Causes of APD include Optic Neuritis, glaucoma and optic nerve tumour. In multiple sclerosis, APD is usually associated with damage to the optic nerve resulting from Optical Neuritis.

Test

The Swinging Flashlight test is used to diagnose Marcus Gunn pupil, where there are abnormal pupil reflexes. Marcus Gunn pupil can also be seen in eyes with extensive retinal pathology.



Equal pupil size


When the light was shone to the left eye where the arrow is pointing to, it shows left relative afferent pupillary defect.