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PUPILLARY DILATATION REFLEX

PUPILLARY DILATATION REFLEX

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Published by: Eden Canonizado Cheng on Feb 28, 2011
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PUPILLARY DILATATION REFLEX

y Due to low intensity light PATHWAY: Impulses from the retina to the optic tract

Go to the Superior Colliculus

Through the Tectospinal tract

Impulses reach the Intermediolateral cell column of T1 or T2

Preganglionic Sympathetic Fibers ascend the sympathetic trunk

These fibers then synapse with Postganglionic Sympathetic Neuron at the Superior Cervical Ganglion

Postganglionic Fibers along branches of the Internal Carotid Artery

Innervate the Dilator Pupillae Muscles

Reference: Lansang

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optic chiasm and optic tract Small number of fibers leave the optic tract These fibers synapse on the nerve cells in the Pretectal Nucleus (close to the superior colliculus) Impulses are passed by axons of the pretectal nerve cells to the Parasympathetic Nuclei (Edinger-Wesphal Nuclei) of CN III on both sides Fibers synapse and the Parasympathetic Nerves travel through the CN III nerve to the Ciliary Ganglion . H.edu/riley/HomePage/Pupil_Abnormal/1_Saint_Pupil_Abnormal.Dr. The first neuron (Preganglionic) starts in the posterior hypothalamus and terminates in the ciliospinalcenter of Budge.DILATATION The sympathetic nerve supply to the eye is a three neuron arc. Anisocoria: The two pupils are not of equal size.opt.html Indiana University (School of Optometry) .indiana. The third neuron (Postganglionic) joins the ophthalmic division of the trigeminal nerve to reach the ciliary body and the pupil dilator muscle via the nasociliary and long ciliary nerves. The second neuron (Preganglionic) passes to the superior cervical ganglion. Direct Light Reflex constriction of the pupil on which the light is shone Consensual Light Reflex constriction of the opposite pupil. D. even though no light fell on that eye PATHWAY: Afferent impulses travel through the optic nerve. Reference: http://www. the pupils of both eyes will normally constrict.OCULOSYMPATHETIC NERVE PATHWAY TO THE EYE . Riley's PUPILLARY LIGHT REFLEXES y y y If a light is shone into one eye.

The first neuron connects the retina to the pretectal nucleus in the midbrain at the level of the superior colliculus. The fourth neuron leaves the ciliary ganglion and innervates the sphincter muscle.opt.Dr.Postganglionic Parasympathetic Fibers pass through the Short Ciliary nerves reach the eyeball Constrictor Pupillae Muscle y Both pupils constrict in the consensual light reflex because the pretectal nucleus sends fibers to the parasympathetic nuclei on both sides of the midbrain.html Indiana University (School of Optometry) . The third neuron connects the EdingerWestphal nucleus to the ciliary ganglion. The second neuron (internuncial neurons) connects each pretectal nucleus to both Edinger-Westphal nuclei. Reference: http://www.edu/riley/HomePage/Pupil_Abnormal/1_Saint_Pupil_Abnormal. D. H. Riley's .indiana. Reference: Clinical Neuroanatomy by Snell The pupillary light reflex is a four neuron arc. thus explaining why a unilateral light stimulus evokes a bilateral pupil constriction.

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6th. receives information from the visual cortex)  Receive fibers from the Medial Longitudinal Fasciculus (by which it is connected to the nuclei of the 4th.OCULOMOTOR NERVE NUCLEI Oculomotor Nerve has two nuclei: y Main motor nucleus  Situated in the anterior part of the gray matter that surrounds the cerebral aqueduct of the midbrain  Lies at the level of superior colliculus  Supply all the extrinsic muscles except superior oblique and lateral rectus  Emerge on the anterior surface of the midbrain in the interpeduncular fossa  Receives corticonuclearfibers from both cerebral hemispheres  Receives tectobulbarfibers from the superior colliculus (through this route. 8th cranial nerves .

y Accessory Parasympathetic Nucleus (Edinger-Westphal Nucleus)  Situated posterior to the main oculomotor nucleus  The axons of the nerve cells. they synapse in the ciliary ganglion  Postganglionic fibers pass through the Short Ciliary Nerves to the constrictor pupillae of the iris and the cilliary muscles  Receives corticonuclearfibers for the accommodation reflex  Receives fibers from the pretectal nucleus for direct and consensual light reflexes . which are preganglionic. accompany the other oculomotorfibers to the orbit  In the orbit.

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