Pupillary control Flashcards

1
Q

How do the preganglionic parasympathetic neurons control pupil size?

A

Innervate pupillary sphincter muscle → pupillary constriction

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2
Q

How do the preganglionic sympathetic neurons control pupil size?

A

innervate pupillary dilator muscle

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3
Q

PATHWAY that leads to constriction of ciliary muscle?

A

activation of the pretectal nucleus → activation of Edinger-Westphal nuclei → signal sent out to ciliary ganglion → contraction of sphincter muscle

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4
Q

PATHWAY that leads to dilation of pupils?

A

brain stem activation (reticular formation) → signal passed down lateral funiculus of spinal cord → signal passed to superior cervical ganglion → contraction of dilator muscle.

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5
Q

Describe the DIRECT pupillary light reflex:

A
  1. light strikes retina
  2. activates retinal gang. cells (temporal halves of retina) (1st synapse: Pretectal N)
  3. axons travel along the optic nerve but DO NOT cross the chiasm (ipsilateral) (2nd SYNAPSE: Edinger-Westphal N. )
  4. bypass the lateral geniculate nucleus
  5. ***3rd Synapse: CILIARY GANGION =activate the efferent limb (occulomotor n) of the light reflex on the ipsilateral side of the brain stem
  6. this causes reflex pupillary constriction in the ipsilateral iris
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6
Q

Describe the INDIRECT pupillary light reflex:

A
  1. light strikes retina
  2. activates retinal ganglion cells
  3. *SYNAPSE: Pre-tectal N
  4. travel through the posterior commissure to contralateral **SYNAPSE: Edinger-Westphal N.
  5. ***SYNAPSE: contralateral CILIARY GANGLION
  6. activate efferent limb of light reflex on contralateral side of brainstem
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7
Q

Name the components that make up the Accommodation reflex

A
  1. eyes undergo convergent movements (via the pre-tectal region of the mid-brain); MR both activated
  2. activation of PNS – EWNu. → lens to become more rounded/thicker and can focus on objects close to you
  3. activation of PNS – EWNu. and inhibition of the sympathetics. → iris to constrict (pupillary constriction)
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