When the patient has an acute variation of his pupillary diameter, an exhaustive and detailed assessment should be performed, as well as an identification of the abnormal pupil, and a differential diagnosis should quickly be made to exclude possible causes 1, 2, 8.
Ante un paciente con variación abrupta de su diámetro pupilar, se debe adelantar un interrogatorio detallado y exhaustivo, identificar la pupila anormal, plantear un diagnóstico diferencial y pensar rápidamente cuáles posibles causas se deben excluir inmediatamente 1,2,8.