pupil deviation

[*LadyNurse*]

Quick question.

What is the significance of pupils that deviate to the BOTTOM of the eye?

Clinical term?

Just to give a little hx, the patient was admitted with DKA and ?antifreeze ingestion. pupils react to light...he also has a bilaterally positive babinski's.

The pupil deviation was a new onset, wasn't present on admit.

I would appreciate any feedback.

[tryingtohaveitall]

In pediatrics, this is called "sundown" eyes. (I've never done adult nursing so I guess it's probably called this as well) It's a sign of increased ICP, often from hydrocephalus. I have actually seen this in my oldest daughter during a shunt malfunction episode. Scared the crap out of me.

[*LadyNurse*]

Thanks!