Eye Autonomics Flashcards

1
Q

Which areas of the eye are supplied by CN V1?

A

Upper eyelid
Cornea
Conjunctiva

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2
Q

What area of the eye is supplied by CN V2?

A

Skin of lower eyelid

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3
Q

Outline the afferent limb of the blink reflex

A

APs are conducted from cornea via CN V1 to trigeminal ganglion then along CN V to pons

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4
Q

Outline the efferent limb of the blink reflex

A

APs are conducted via CN VII to the eyelid part of orbicularis oculi

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5
Q

Describe the path of presynaptic axons from the CNS in the cervical part of the sympathetic trunk

A

Exit spinal cord in T1 and ascend within sympathetic trunk before synapsing in superior cervical sympathetic ganglion

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6
Q

Describe the path of post-synaptic sympathetic axons from the cervical part of the sympathetic trunk

A

Enter internal/external carotid nerves which pass onto surface of internal/external carotid arteries which are carried to head organs on artery branches

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7
Q

Describe the path of CN III in the brain

A

Connects with CNS between midline and pons then passes though cavernous sinus and exits via superior orbital fissure

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8
Q

What is the origin of the ciliary ganglion?

A

Presynapatic parasympathetic axons of CN III

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9
Q

What do the ciliary nerves supply?

A

Autonomic axons to control diameter of iris and shape of lens

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10
Q

What is the vestibulo-ocular reflex?

A

When eye direction remains the same in head movement

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11
Q

What is the oculocardiac reflex?

A

Reflex bradycardia in response to tension on extraocular muscles

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12
Q

Describe the sympathetic functions of the eye

A

Open eyes wider
Get more light into eye
Focus on far objects

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13
Q

Describe the parasympathetic functions of the eye

A

Allow orbicularis oculi to work
Get less light into eye
Focus on near objects

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14
Q

A non-physiologically enlarged pupil is known as?

A

Mydriatic pupil

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15
Q

A non-physiologically constricted pupil is known as?

A

Miotic pupil

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16
Q

What are the nerves that enable the pupillary light reflex?

A
CN II (afferent limb)
CN III (efferent limb)
17
Q

The ciliary muscle contracts/relaxes in far vision and contracts/relaxes in near vision

A

Relaxes in far vision and contracts in near vision

18
Q

What nerve is assessed in the accommodation reflex?

A

CN III

19
Q

What are the three components of the accommodation reflex?

A

Bilateral pupillary constriction
Bilateral convergence of eyes toward midline
Bilateral relaxation of lens

20
Q

What is the cause of Horner’s syndrome?

A

Impaired sympathetic innervation to the head and neck