What does the abbreviation "PERRLA" mean in a neurological assessment?

The abbreviation "PERRLA" is commonly used in neurological assessments to indicate that the pupils are "Pupils Equal, Round, Reactive to Light and Accommodation." This means that when a clinician assesses the pupils, they observe that both pupils are of equal size and shape (round), respond appropriately to light (reactive), and can change focus when shifting from a distant to a near object (accommodation).

This comprehensive assessment is crucial as it provides vital information about the neurological function and health of the patient. Changes in the size, shape, or reaction of the pupils can indicate potential neurological issues, such as increased intracranial pressure or trauma. Hence, recognizing and accurately documenting PERRLA is essential for healthcare providers in evaluating a patient’s condition during examinations.