The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?

A) Decrease in tear production
B) Unequal pupillary constriction in response to light
C) Presence of arcus senilis observed around the cornea
D) Loss of the outer hair on the eyebrows attributable to a decrease in hair follicles

Pupils are small in the older adult, and the pupillary light reflex may be slowed, but pupillary constriction should be symmetric. The assessment findings in the other responses are considered normal in older people. Decrease in tear production, presence of arcus senilis around the cornea, and loss of outer hair on the eyebrows are normal findings in the aging adult. Although pupils are small in the older adult, and the pupillary light reflex may be slowed, the pupillary constriction should be symmetric. Therefore, unequal pupillary constriction in response to light is an abnormal finding.