The pupil response 1 Flashcards

1
Q

What happens in low light level?

A

Mydriasis - dilation of the pupil in low light level

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2
Q

What is average dilation of pupil?

A

8mm

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3
Q

What happens in bright light level?

A

Miosis - constriction of the pupil in bright light level

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4
Q

What is average constricted pupil size?

A

2mm

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5
Q

How are pupils size determined?

A

light levels
genetics
age

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6
Q

What happens to pupils as we get older?

A

Constricted pupil so harder at night to read

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7
Q

what do you call large and small pupil sizes/

A

macrocoria -big

microcoria - small

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8
Q

What does genetic factors influence?

A

Resting pupil size

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9
Q

What is the resting pupil size of males>/

A

9mm

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10
Q

What is the resting pupil size in females?

A

3mm

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11
Q

What is the resting pupil size in children?

A

6mm

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12
Q

What was used to dilate pupil?

A

Atropine

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13
Q

Why did womens use atropine?

A

Make eyes look larger and make them look younger

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14
Q

What happens to pupil in very bright light for long time?

A

in 200ms pupil gets smaller
takes 2 half second to constrict fully
as light levels get lower pupil response takes longer and constricts less

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15
Q

What is hippus?

A

The pupil oscillates around average steady state

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16
Q

What is the function of pupil?

A

To regulate the amount of light entering the eye

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17
Q

What is the difference between fully constricted and fully dilated pupil?

A

x16

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18
Q

How much does fully dilated and fully constricted pupil alter the light entering the eye bye?

A

1.2 log units

19
Q

What does constriction do?

A

Increases image quality by increasing depth of focus

and reduce amount of spherical aberrations

20
Q

How can you reduce spherical aberrations?

A

By closing the pupil- make smaller and cut out any peripheral rays

21
Q

How does the traid improve image quality? (3)

A

Accommodation focuses the object
convergence puts the image on fovea
pupil constriction increases depth of field

22
Q

What does human pupil respond to?

A

Changes in illuminance
viewing near objects
cortical influences - girls

23
Q

What does the iris contain?

A

Two smooth muscles - dilator and sphincter muscles

24
Q

What is the orientation of the iris muscles?

A

sphincter- circular muscles

dilator - runs radially

25
Q

Where is dilator muscle?

A

> Close to ris pigmented double epithelium (myoepithelium)

26
Q

What is the dilator muscle innervated by ?

A

Sympathetic branch of autonomic nervous system

27
Q

Where is the sphincter muscle?

A

separated from iris pigmented epithelium

28
Q

What innervates the sphincter muscle?

A

Innervated by the parasympathetic branch of the autonomic nervous system

29
Q

How do pupils respond to in animals without rods and cones?

A

Mice can also respond to light even without photoreceptors because they have melanopsin that contain retinal ganglion cells that respond in the same way

30
Q

What is the initial stage of pupil constriction?

A

light absorbed by retinal photoreceptors
>rods and cones - lower intensity
>melanopsin containing retinal ganglion cells - high light levels
>ganglion cells leave retina and stimulate ganglion cells in optic nerve

31
Q

What happens to pathway after optic nerve?

A

To the optic chiasm- decussation- project axons into thE LGN - synapse to optic radiation in visual cortex and results to conscious vision

32
Q

Not all output goes to visual cortex where does it go?

A

not all vision is conscious

retinal projection to the OPN (bilateral ) and comes from both eyes

33
Q

What is OPN?

A

Olivary Pretactal nuclei

34
Q

What happens after OPN?

A

Fibres go directly to the ipsilateral Edingher Westphal nucleus and also to contralateral EWN to mediate consensual response vai the posterior commisure

35
Q

Explain sensory limb of reflex ARC?

A
>Light absorbed by photoreceptors(rods, cones, melanopsin ganglion cells)
>activity in the ON
partial decussation at the chiasm 
>Projection to OPN
Bilateral Projection to EWN
36
Q

what is the motor innervation of the iris muscles?

A

Autonomic nervous system

37
Q

what is the difference between sympathetic and parasympathetic ganglia?

A

Sympathetic ganglia are near spinal chord

Parasympathetic ganglia are located by effector

38
Q

What is the sensory pathway of pupil constriction?

A

> Bilateral projection to OPN olivary pretectal nuclei from the retina
fibres to EWN of both sides

39
Q

What is the motor pathway of pupil constriction?

A

Preganglionic parasympathetic fibres travel from the EWN within the 3rd nerve to the ciliary ganglion

Postganglionic fibres innervate the iris sphincter muscle within short ciliary nerves

40
Q

How do ciliary ganglion cells synapse ?

A

Ach as neurontransmittors

41
Q

What does Ach bind to?

A

Muscarinic receptors

42
Q

Where do parasympathetic fibres arise from?

A

Parasympathetic fibres mediating pupillary response arise in the EWN

43
Q

Where do ciliary muscles run?

A

Ciliary muscles run back to the eye, run to the choroid in front iris and innervate the sphincter pupillae muscle for constriction