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PERRLA stands for Pupils equal, round, reactive to light and accommodation. The meaning of PERRLA abbreviation is Pupils equal, round, reactive to light and accommodation. One of the definitions of PERRLA is Pupils equal, round, reactive to light and accommodation. PERRLA as abbreviation means Pupils equal, round, reactive to light and accommodation.
Inspect each iris and note the size and shape of the pupils, which should be round, without cloudiness, and equal in size. With your patient looking in the distance, use your penlight to shine light obliquely onto each pupil. The pupils should constrict in response to light. Note both the direct response, that of the same eye, and the consensual response, that of the opposite eye. Click image to play. Next, hold your finger a few inches from your patients eyes and ask the patient to look alternately at your finger and in the distance.