title: Lack of consensus on consensual response.
abstract: The pupillary light reflex (PLR) is a routinely utilized clinical test to quickly assess integrity of subcortical light perception pathways in patients. While interpretation is simple for ophthalmologists, interestingly discrepancy occurs in annotation of the test results, especially for the consensual response. An email survey sent to diplomates of either the American or European Colleges of Veterinary Ophthalmologists (ACVO and ECVO, respectively), requesting use of a 'direct/consensual' annotation convention, showed 58% of respondents preferred one convention while 39% preferred a different convention. The majority preferred convention was different between ACVO and ECVO respondents. Standardization of PLR annotation convention across specialists is recommended for clarity in medical record keeping and communication among colleagues.
authors.affiliation: Section of Ophthalmology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
authors.forename: Tara M
authors.initials: TM
authors.lastname: Stonex
authors.affiliation: Ophthalmology Services, MPI Research, Mattawan, MI, 49071, USA.
authors.forename: Joshua T
authors.initials: JT
authors.lastname: Bartoe
authors.affiliation: Section of Ophthalmology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
authors.forename: Gustavo D
authors.initials: GD
authors.lastname: Aguirre
mesh_terms: D000818:Animals; D032921:Consensus; D003941:Diagnostic Techniques, Ophthalmological / Q000706:statistics & numerical data*; D005060:Europe; D020407:Internet; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012025:Reflex, Pupillary / Q000502:physiology*; D011795:Surveys and Questionnaires; D014481:United States; D018634:Veterinarians; D014730:Veterinary Medicine
keywords: annotation; consensual response; direct response; indirect response; pupillary light reflex