TY - CHAP M1 - Book, Section TI - Afferent Pupillary Defect A1 - Singh, Manpreet A1 - Whitfield, Denise A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Pupil size is controlled in the midbrain, from which efferent nerves travel to both pupils, resulting in symmetric pupils, even with a unilateral light stimulus. The perception of the light stimulus, however, may be decreased by disease within anterior visual structures such as the retina, optic nerve, chiasm, optic tract, and midbrain pathways. With diminished afferent stimulation, less light is “perceived,” and pupil contraction diminishes (ie, dilates) as a result. In this situation, the affected side is said to demonstrate an afferent pupillary defect (APD). SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/20 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1181038452 ER -