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RAPDx high-definition
pupil diagnostics

the most significant advancement in pupil testing in over a century

Historical Methods:  The “Swinging Flashlight Test”

With origins stemming from the 19th century, this manual and subjective method of detecting an RAPD is commonly known to be difficult to perform well, under the best of circumstances. Although known to be an important physical sign, many well-intentioned doctors report little incidence – not because the sign is not present, but because it is difficult or impossible to detect and it is rarely quantified.

A Perfect Storm

Confounding issues such as minimum contrast (dark iris + black pupil + dark room), anisocoria, misshapen pupils and the lack of standardized light intensity conspire to make the swinging flashlight test even more challenging.

Until now…

Routine physician assessment of an RAPD has been clinically difficult with any measure of precision. Now with RAPDx, our techs can simply and objectively provide an entirely new level of detail in detection of an APD. Every doc will want one to enhance detection of neuro-affected diseases. This can be very interesting in looking at disease progression at a very early stage.

Theodore Krupin, MD

Northwestern University

Enter RAPDx

RAPDx utilizes a high-definition, machine-vision system under controlled infrared conditions to present monocular visual stimuli while recording binocular pupil responses. Unlike human observers that only see one eye response at a time, RAPDx simultaneous images both direct and consensual light responses. The power of the system is to collect a series of responses and average them into a consolidated response curve. Pupil testing is notoriously non-standardized, variable, and noisy. Response averaging significantly helps filter the noise inherent in the biological responses.

Easy, objective, quantitative, delegated, detailed … perhaps better than the finest human observer. RAPDx may be the most significant advancement in pupil testing in decades.

 

Features

RAPDx is designed to allow minimally trained technical staff to collect objective data on PLR (pupil light reflex) responses.

RAPDx Features

RAPDx Signature

RAPDx pupillography provides 6 key measurements that make up the fundamentals of the pupil response “Signature”.

  • Resting pupil diameter
  • Latency, onset of constriction
  • Velocity of constriction
  • Amplitude of constriction
  • Latency, maximum constriction
  • Velocity of recovery

This is important new information that clinicians rarely collect reliably or at all.

RAPDx Score

A differential assessment of the mean of the right eye stimulated constrictions versus the mean of the left eye stimulated constrictions are compiled as “RAPDx Score”.

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Objective Pupil Assessment

Digital imaging of differential pupil function. Simple for technicians to acquire relevant clinical data.

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Dark iris, dark pupil, dark room

The Marcus Gunn sign is a difficult test to perform well.  RAPDx easily measures asymmetry in the some of the most challenging conditions.

RAPDx Score

A mathematic assessment of direct and consensual pupil responses between right and left eyes.  Human cannot simultaneously compare right versus left or consensual vs direct responses.

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Easy Reporting

Beautiful reporting drills down to remarkable detail that humans simply cannot observationally divine.