This was recommended in another thread. It has a cap to put over the light because it's so bright. I've been in a brightly lit trauma bay and still get a good pupillary response.
Streamlight 65018 Stylus 3-AAAA LED Pen Light, Black with White Light 6-1/4-Inch https://www.amazon.com/dp/B00008BFS5/ref=cm_sw_r_cp_api_qUUvzbDS31JYC
Streamlight pen light - size of a penlight (fits in my pen pocket), brightness of an LED flashlight.
http://www.amazon.com/dp/B00008BFS5/ref=pe_175190_21431760_M2C_SC_dp_1
There is no better penlight than this one. It is the perfect pocket size.