Versions and Vergences Flashcards
Infranuclear Controls
CN 3, 5, 6 and their muscles
Nuclear Controls
Cranial nuclei
Supranuclear Contros
higher order; plans and controls eye movement
cortex, cerebellum, brainstem
Versions and Vergences are controlled by….
supranuclear pathway
Saccades
FAST conjugate eye movement for refixation/
moves fovea to object of interest
voluntary, some can be reflex
Saccade- Version or Vergence?
Version
Saccade Latency
time between stimulus and response
120- 200ms
Saccades develop by age…
1
Pursuits
maintains fovea focus on a slowly moving target
matches eye velocity to target velocity
voluntary
Pursuit Latency
shorter than saccades- faster start
125ms
Pursuits develop by…..
3-4 months
Vestibulo-ocular Reflex
VOR
stabilize retinal image during brief head movements
seen in doll’s head maneuver
does not require stimuli
VOR is developed by….
Horizontal- at birth
Vertical- later
Vestibular damage results in….
horizontal nystagmus
Dolls Head Maneuver
eyes move opposite to head turn
Caloric Testing
head angled 30 degrees
Cold = opposite
warm = same
Optokinetic Reflex
takes over after brief head movement/ VOR
during prolonged head movement
Testing Optokinetic Reflex
Rotational Testing
eye moves fast opposite rotation of chair
Optokinetic Nystagmus
OKN
slow purusit eye movement followed by fast corrective saccade
head stays still
requires input from visual system
OKN develops by…..
3-5 months
Pursuits- Version or Vergence?
Version
VOR- Version or Vergence?
Version
Optokinetic Reflex- Version or Vergence?
Version
OKN- Version or Vergence?
Version
Fusional Vergence
to correct discrepancies b/t retinal images /
make sure both eyes see the same thing
Tonic Vergence
constant inn to EOMs when awake and alert
holds eyes straight since eyes would otherwise diverge
Proximal Vergence
induced convergence to view objects at near
High AC/A
ET with accommodation
eyes overconverge
Low AC/A
XT, harder to converge or cant converge