Eye Reflex Pathways Flashcards

1
Q

What is efferent limb for reflex tears?

A

CNVII

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2
Q

How do sympathetics get from chain to eye?

A

Exit spinal cord at T1, ascend within sympathetic trunk, synapse at superior cervical ganglion.
Post-synaptic neurones enter carotid nerves then surface of carotid arteries. Piggy back ophthalmic artery to the orbit

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3
Q

Other name for parasympathetic outflow?

A

Craniosacral outflow

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4
Q

Where do eye sympathetics synapse?

A

superior cervical ganglion

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5
Q

Three things that happens in the accommodation reflex (response to near)

A
Pupil constriction
Cross eyed (medial)
Lens becomes fat
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6
Q

What is Miosis?

A

Constriction of one pupil

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7
Q

What type of signals synapse at the ciliary ganglion?

A

Only parasympathetics

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8
Q

Name the four important steps/areas in pupillary reflexes (not to do with specific nerves)

A

Retinal ganglion cells to pretectal nucleus;
Pretectal nucelus to Edinger Westphal nucleus;
EW nucleus to ciliary ganglion;
Ciliary ganglion to sphincter pupillae muscles;

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9
Q

Where does CNIII exit the skull to provide for the eye muscles?

A

Superior orbital fissure

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10
Q

What are reflex tears?

A

Extra tears on top of basal ones in response to chemical or mechanical stimuli

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11
Q

What is a non-physiologically enlarged pupil called?

A

Mydriatic pupil

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12
Q

In blinking reflex, what is the efferent nerve?

A

CNVII

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13
Q

In the blinking reflex, what muscle is stimulated and by what nerve?

A

Eyelid part of orbicularis oculi, CNVII

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14
Q

Where do CNVII parasympathetic fibres synapse?

A

Pterygopalatine ganglion to provide for lacrimal gland

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15
Q

Muscle for pupil constriction and what type of control it is under

A

Sphincter pupillae, parasympathetic

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16
Q

What is the efferent nerve for pupil constriction?

A

CNIII, oculomotor nerve

17
Q

Symptoms of Horner’s syndrome

A

Ptosis (droopy eyelid)
Miosis
Anhydrosis
Increased warmth and redness

18
Q

What is the afferent nerve for pupil contriction?

A

CNII, optic nerve

19
Q

What level is the sympathetic chain?

A

T1-L2 spinal nerves

20
Q

Where do CNIII parasympathetic fibres synapse?

A

Ciliary ganglion to provide for iris and lens

21
Q

What is the afferent limb for reflex tears?

A

CNV(1)

22
Q

In blinking reflex, what is the afferent nerve?

A

CNV(1)

23
Q

Muscle for pupil dilation and what type of control it is under

A

Dilator pupillae, sympathetic

24
Q

What is the vestibule-ocular reflex

A

turns the eye in opposite direction of head movement to keep eye focused on still object.

25
Q

Cause of a fixed miotic pupil?

A

Horners

26
Q

Cause of pin-point pupil

A

Opiates

27
Q

Cause of fixed dilated pupil

A

CNIII pathology, parasympathetic pathology origin

28
Q

Is the ciliary muscle relaxed or contracted for near sight?

A

contracted and fat lens

29
Q

Is the ciliary muscle relaxed or contracted for far sight?

A

Relaxed and thin lens