Eye Physiology Flashcards
What is the function of the eye?
The function of the eye is to transform light energy into nerve signals that can be transmitted to the cerebral cortex for interpretation.
Pupillary Reflex is controlled by?
Automonic nervous sytems
Cranial nerve II AND III
Miosis
Stimulation of the parasympathetic nerves EXCITES the pupillary sphincter muscle, thereby decreasing the pupillary aperture
Mydriasis
Sympathetic stimulation, conversely, dilates the pupil
Pulliary light reflex
Light shine constricts pupils
Functions to allow adaptation with rapid changes of light
Direct response (pupil illuminated)
The direct response is impaired in lesions of the ipsilateral optic nerve, the pretectal area, the ipsilateral parasympathetics traveling in CN III, or the pupillary constrictor muscle of the iris.
Consensual response (contralateral pupil illuminated
The consensual response is impaired in lesions of the contralateral optic nerve, the pretectal area, the ipsilateral parasympathetics traveling in CN III, or the pupillary constrictor muscle.
Accommodation (response to looking at something moving toward the eye)
Accommodation is impaired in lesions of the ipsilateral optic nerve, the ipsilateral parasympathetics traveling in CN III, or the pupillary constrictor muscle, or in bilateral lesions of the pathways from the optic tracts to the visual cortex. Accommodation is spared in lesions of the pretectal area.
Afferent pupillary defect
- decreased direct response caused by decreased visual function in one eye when using the swinging flashlight test.
- the affected pupil dilates in response to light.
- Under normal conditions, the pupil constricts in response to light.
What can block the pupillary reflex?
Alcoholism
Encephalitis
CNS syphilis
Extraocular Muscles
-Medial and lateral recti Move the eye from side to side -Superior and inferior recti Move the eye up and down -Superior and inferior obliques Rotate the eye around its optical axis
Oculomotor nerve (CN III)
-Innervates the medical rectus Turns the eye medially -Innervates the superior rectus Elevates the eye and rolls it upward -Innervates the inferior rectus Depresses the eye and rolls it downward -Innervates the inferior oblique Elevates the eye and turns it laterally
Trochlear nerve (CN IV)
Innervates the superior oblique and turns the eye downward and laterally
Abducens nerve (CN VI)
Innervates the lateral rectus and moves the eye laterally
Binocular fusion is controlled by
ocular reflex mechanisms that adjust the orientation of each eye to produce a single image
Conjugate gaze
Refers to the use of both eyes to look steadily in one direction
Saccadic eye movements
Consists of small jumping movements that represent rapid shift in conjugate gaze orientation
Nystagmus
The sequence of SLOW ocular rotation, a saccade, slow rotation
Can be caused by lesions in the cerebellum and middle ear
Describe the Lens
- An avascular transparent biconvex body.
- Posterior side is more convex than the anterior side.
- Elastic capsule holds lens in place, allows lens to change shape.
Describe what happens to the lens for distant vision.
Sympathetic input relaxes the ciliary muscle, tightening the ciliary zonule, and flattening the lens.