Panel discusses how to detect relative afferent pupillary defects

At Hawaiian Eye 2022, Prem S. Subramanian, MD, PhD, the vice chair for academic affairs and division head of neuro-ophthalmology at the Sue Anschutz-Rodgers UC Health Eye Center in Aurora, CO, was asked if he had ever seen an RAPD in a cataract.

“You should not see an RAPD just from a cataract,” Subramanian said. “I think, paradoxically, sometimes the cataract scatters the light so much you can see the RAPD in the other eye, but that is one of those weird things. The book answer is no.”