"The Light in My Eyes": Patient Perspectives on Pupil Examination After Intracranial Surgery

J Neurosci Nurs. 2025 Sep-Oct;57(5):177-180. doi: 10.1097/JNN.0000000000000842. Epub 2025 Jul 1.

Abstract

BACKGROUND: Pupil examination, a fundamental part of the neurologic examination, is essential to detect problems after intracranial surgery. However, this examination may be worrying to patients because it requires close physical proximity and a light source directed at the patient's eyes. This study aimed to describe patient perspectives on pupil examination after intracranial surgery. METHODS: This is a qualitative descriptive study. Semistructured face-to-face, individual interviews were conducted with 12 patients after intracranial surgery. RESULTS: Three main themes, namely, "what I know about pupil examination," "what I felt during the pupillary examination," and "my expectations," were identified through thematic analysis. CONCLUSION: Pupil examination, a routine practice for nurses, may result in worry and uncertainty for patients. This study revealed the importance of nurses using practical communication skills during pupil examinations.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neurologic Examination* / methods
  • Neurologic Examination* / nursing
  • Neurologic Examination* / psychology
  • Neuroscience Nursing / methods
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / nursing
  • Pupil*
  • Qualitative Research