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Ronald E. P. Frenkel, MD
Stuart, Fla

Arch Ophthalmol. 1989;107(5):634-635.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—I read with interest the article by Corbett et al¹ in the October 1988 ARCHIVES. Their use of the relative afferent pupillary defect (RAPD) in Table 2 of their article was completely appropriate. However, I do believe that the generalized use of the RAPD as a sign of worsening disease or as an indicator of surgical success may at times be misleading and should be de-emphasized, because its greatest value is limited to cases where there are asymmetrical changes in this bilateral disease. The authors stated that: quantitative measurements of the relative afferent pupillary defect were made at each visit... the clinical ophthalmologic examination, especially of visual fields and acuity and afferent pupillary testing, is essential to the accurate diagnosis and optimal management of all patients with pseudotumor cerebri... change in an afferent pupillary defect is one of several ways to measure success of optic nerve . . . [Full Text PDF of this Article]

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