Lecture 6: Visual Pathways and Eye Movements Flashcards

1
Q

What is a visual field vs. retinal field?

A

Visual field: area that a person is able to see when both eyes are fixed in one position

Retinal field: light passes from objects in the visual field, through the pupil to subtend an image upon the retina

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2
Q

In the visual field, the object of attention is focused and centered at which location?

A

Fovea centralis and macula lutea

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3
Q

What is found medial to the macula, and what leaves this region; what is absent from this region?

A
  • Optic disc
  • Region where retinal axons leave the eye as the optic nerve
  • No photoreceptors here, which creates our blind spot
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4
Q

Visual fields are subdivided into what 2 zones?

A

1) Binocular zone, broad central region seen by both eye

2) Monocular zone (R/L), seen only by the corresponding eye

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5
Q

The location on the retina that an object in the visual field is the retinal field, how is each visual field divided within the retinal field?

A
  • Each visual field is divided into retinal hemifields (nasal and temporal halves of retina)
  • Each hemifield is divided into upper and lower, quadrants
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6
Q

The image formed on the retina is inverted how?

A

In both the lateral and vertical dimensions

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7
Q

Explain how the left and right half of the visual field forms an image on the temporal and nasal half of each retina.

A
  • Left half forms image upon the nasal (right) half of left retina and the temporal (right) half of the right retina
  • Right half forms image upon the nasal (left) half of right retina and the temporal (left) half of the left retina
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8
Q

Where do the optic nerves partially decussate; which parts cross?

A
  • Optic chiasm
  • Nasal half of each retina —> contralateral optic tract
  • Temporal half of each retina —> ipsilateral optic tract
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9
Q

What is the optic tract composed of?

A

Fibers from temporal retina (ipsilateral) eye + fibers from nasal retina (contralateral eye)

*Only the nasal fibers decussate here

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10
Q

What is the purpose of partial decussation of the optic nerve at the optic chiasm?

A
  • Necessary to delivery information from contralateral visual field to each optic tract
  • Brings together information from comparable areas of both retinas —-> DEPTH PERCEPTION
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11
Q

Optic tract curves posteriorly around the cerebral peduncle and terminates where?

A

Lateral geniculate nucleus (LGN)

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12
Q

How many layers make up the lateral geniculate nucleus and how do the fibers of the optic tract terminate here?

A
  • 6 layers w/ myelinated fibers sandwiched between them
  • Fibers terminate in a precise retinotopic pattern
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13
Q

What forms the ventral base, and dorsal/lateral borders of the lateral geniculate nucleus (LGN)?

A
  • Ventral base is formed by the incoming optic tract (retinogeniculate) fibers
  • Dorsal and lateral borders formed by the outgoing optic radiations
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14
Q

What is the Magnocellular (M) layers of the lateral geniculate nucleus (LGN); contains what size cells; receives what inputs?

A
  • Layers 1 and 2 (ventral)
  • Contains large cells

- Receive ganglion cell inputs relaying from rods —> larger receptive fields and thick, rapidly conducting axons, sensitive to moving stimuli

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15
Q

The Magnocellular (M) layers of the lateral geniculate nucleus is sensitive to what stimuli?

A

Sensitive to moving stimuli

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16
Q

What are the Parvocellular (P) layers of the lateral geniculate nucleus; what size cells; what inputs does it receive?

A
  • Layers 3-6 (dorsal)
  • Contains small cells
  • Receive ganglion cell inputs relaying from cone —> small receptive fields, slower conducting axons, tonically responsive to stationary stimuli, high-acuity vision
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17
Q

Ganglion cell axons that arise in the temporal retina remain uncrossed and terminate in which layers of the LGN on which side?

A
  • Layers 2, 3, and 5
  • Ipsilateral LGN
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18
Q

Ganglion cell axons that arise in the nasal retina cross and terminate in which layers of the LGN on which side?

A
  • Layers 1, 4, and 6
  • Contralateral side
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19
Q

Looking at the RIGHT visual field, the nasal retina of the right eye and temporal retina of the left eye terminate in which layers and which LGN?

A
  • Nasal (R)–> Layers1, 4, 6ofleft LGN
  • Temporal (L) –> Layers 2, 3, 5 of right LGN
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20
Q

Looking at the LEFT visual field, the nasal retina of the left eye and temporal retina of the right eye terminate in which layers and which LGN?

A
  • Nasal (L) —> Layers 1, 4, 6 of right LGN
  • Temporal (R) –> Layers 2, 3, 5 of right LGN
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21
Q

How is the same point in visual space able to be represented six times?

A
  • Once in each layer of the LGN
  • Optic tract axons branch in multiple layers even though they arise from same visual field
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22
Q

What forms Optic Radiations; what else is this pathway referred to as?

A

- Secondary neurons from the LGN extend a large bundle of myelinated fibers

  • Also referred to as the geniculostriate or geniculocalcarine pathway
23
Q

Where do the secondary neuron bundles (optic radiations) relay to, which is located where?

A
  • Relay to the primay visual cortex (striate cortex)
  • Located on the upper and lower banks of the calcarine sulcus
24
Q

Fibers from the lower quadrant of the contralateral hemifields originate from what part of LGN and target where?

A
  • Originate from dorsomedial portion of LGN
  • Arch caudally to pass through the retrolenticular limb of internal capsule
  • Target superior bank of the calcarine sulcus, on the cuneus
25
Q

Fibers from the upper quadrant of the contralateral hemifields originate where in LGN and describe their route and target?

A
  • Originate from ventrolateral portion of LGN
  • Arch rostrally, passing into white matter of temporal lobe to form a broad U-turn, the Meyer loop
  • Target inferior bank of the calcarine sulcus, on the lingual gyrus
26
Q

What is the Meyer loop and why is it clinically significant?

A
  • Formed by fibers from the upper quadrant of the contralateral hemifields
  • These fibers arch into the white matter of Temporal lobe on way to inferior bank of calcarine sulcus, on lingual gyrus
  • Strokes or lesions to temporal lobe may interrupt this pathway and cause visual deficits
27
Q

Fibers conveying information from the macula and fovea originate from where in LGN and target what?

A
  • Central regions of LGN
  • Pass to caudal portions of the visual cortex
28
Q

The macula is represented by disproportionally large volumes (relative to size) of the _____ and _______.

A

LGN and visual cortex

29
Q

The Macula is represented most _________, in the region of the _________ pole.

A

The Macula is represented most posteriorly, in the region of the occipital pole

30
Q

Visual pathways end retinotopically in the primary visual cortex/striate cortex above and below the calcarine sulcus, where do the inferior, superior, macular and peripheral fields project in this cortex?

A
  • Inferior visual fields project to the cortex above the calcarine sulcus
  • Superior fields project to the cortex below the sulcus
  • Macula is represented more posteriorly and peripheral fields more anteriorly
31
Q

What Brodmann area is the primary visual cortex/striate cortex?

A

Brodmann’s area 17

32
Q

The striate cortex is surrounded by which Brodmann areas?

A

Areas 18 and 19 (comprise rest of occipital lobe)

33
Q

Brodmann’s areas 18, 19, and related parts of the temporal and parietal lobes comprise what; what components of vision does this cortex help us with?

A
  • Visual Association Cortex (extrastriate cortex)
  • Parieto-occipital-temporal area
  • Helps interpret: location, motion, form, and color
34
Q

Which visual cortical area is responsible for spatially directing head movements and visual reflexes; what inputs does it receive to help with this?

A
  • Superior Colliculus
  • Retinal and Cortical input
  • Spinotectal (somatosensory) and auditory inputs

*Important in directing eye movements

35
Q

How does the Superior Colliculus receive retinal input?

A
  • Select fibers from each optic tract bypass the LGN
  • Pass over the medial geniculate nucleus in a bundle, the brachium of the superior colliculus
36
Q

The pretectal/pretectum area is a bilateral group of interconnected nuclei which respond to and mediate what; related to what reflex?

A
  • Respond to varying intensities of illuminance
  • Mediate non-conscious behavioral responses to acute changes in light
  • Important in the pupillary light reflex, illumination of 1 eye results in bilateral pupillary constriction
37
Q

Voluntary eye movements are controlled by which frontal eye field and where is it located?

A
  • Frontal eye fields (area 8)
  • Posterior portion of the middle frontal gyrus
38
Q

Which fibers from the frontal eye field will descend to the superior colliculus and control the lower motor neurons for voluntary eye movements; when testing these movements what state does the patient need to be in?

A
  • Corticotectal fibers
  • Control LMN’s of CN III, IV, and VI
  • Patient must be concious (aroused, alert and attentive)
39
Q

Which eye fields control Nonvolitional movements and where do the fibers project from; what type of eye movements fit this category?

A
  • Occipital eye fields in the visual association cortex proejct corticotectal fibers to the superior colliculus
  • Controls unconcious (nonvolitional) eye movements, may be associated w/ following a target
40
Q

What is Hemianopia?

A

Blindness (-anopia or -anopsia) in one-half of the visual field

41
Q

What is Quadrantanopia?

A

Blindness of a quadrant of the visual field

42
Q

What is Homonymous vs Heteronymous visual fields?

A

Homonymous: conditions in visual field losses are similar in both eyes

Heteronymous: conditions in which the two eyes have non-overlapping field losses

43
Q

How does damage anterior to chiasm, at the chiasm, and behind the chiasm affect visual field?

A
  • Anterior to chiasm affects only the ipsilateral eye
  • At the chiasm causes heteronymous deficits
  • Behind the chiasm causes homonymous deficits
44
Q

A lesion where would cause this deficit; what is the name of the deficit?

A

Lesion of right optic nerve = Monocular blindness

45
Q

A lesion where would cause this deficit; what is the name of this deficit?

A

Lesion of optic chiasm = non-homonymous bitemporal hemianopia

46
Q

A lesion where would cause this deficit; what is the name of this deficit?

A
  • Lesion of right optic tract or right Geniculocalcarine tract = contralateral homonymous hemianopia
  • Indicated by #3 and #6 on the figure
47
Q

A lesion where would cause this deficit; what is the name of this deficit?

A
  • Lesion temporal lobe (Meyer’s loop) = Superior left homonymous quadrantanopia

- Indicated by #4 on figure

48
Q

A lesion where would cause this deficit; what is the name of this deficit?

A
  • Parietal lobe lesion = Inferior left homonymous quadrantanopia
  • Indicated by #5 on figure
49
Q

A lesion where would cause this deficit; what is the name of this deficit?

A
  • Lesion of both banks of calcarine fissure on the right = Contralateral (left) homonymous hemianopia (with macular sparing)
  • Indicated by #9 on the figure
  • Damage to one occipital lobe or occlusion of PCA
50
Q

A lesion where would cause this deficit; what is the name of this deficit?

A

Lesion of Inferior bank of calcarine fissure = Superior left homonymous quadrantanopia (w/ macular sparing)

51
Q

Which artery is associated with Associative Visual Agnosia, what is affected, and what is the presentation of this disorder?

A
  • Occlusion of posterior cerebral artery leads to secondary infarction of the left occipital love and posterior corpus callosum
  • Disconnects the language area from the visual association cortex
  • Patient cannot name or describe an object in the visual field, BUT he/she can recognize and demonstrate its use
  • Patient may also be alexic (unable to read) and writing ability may be affected (agraphia)
52
Q

A lesion to the left temporal lobe affecting Meyer’s loop would cause what type of visual deficit?

A

Superior right homonymous quadrantanopia

53
Q

What is Associative visual agnosia and infarction of which artery to which artery causes this?

A
  • Infarction of left occipital lobe secondary to occlusion of PCA
  • May disconnect the language area from the visual association cortex
  • Pt cannot name or describe an object in visual field, he can recognize and demonstate its use