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Pupillary reflexes, particularly the pupillary light reflex, are a powerful diagnostic tool often employed in clinical and emergency medical practice. A lack of equal consensual pupillary constriction to a light stimulus, especially a Marcus Gunn pupil, can be indicative of optic nerve damage, brainstem death, or optic tract damage in between.
Schematic diagram of pupillary light reflex neural pathway. Left direct light reflex involves neural segments 1, 5, and 7. Segment 1 is the afferent limb, which includes the retina and optic nerve. Segments 5 and 7 form the efferent limb. Left consensual light reflex involves neural segments 2, 4, and 7. Segment 2 is the afferent limb.
The visual system is the physiological basis of visual perception (the ability to detect and process light).The system detects, transduces and interprets information concerning light within the visible range to construct an image and build a mental model of the surrounding environment.
Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.
Although the pupillary response, in which the pupil dilates or constricts due to light is not usually called a "reflex", it is still usually considered a part of this topic. Adjustment to close-range vision is known as "the near response", while relaxation of the ciliary muscle to view distant objects is known as the "far response".
The visual pathway consists of structures that carry visual information from the retina to the brain.Lesions in that pathway cause a variety of visual field defects. In the visual system of human eye, the visual information processed by retinal photoreceptor cells travel in the following way:
The pupil is a hole located in the center of the iris of the eye that allows light to strike the retina. [1] It appears black because light rays entering the pupil are either absorbed by the tissues inside the eye directly, or absorbed after diffuse reflections within the eye that mostly miss exiting the narrow pupil.
The iris along with the anterior ciliary body provide a secondary pathway for aqueous humour to drain from the eye. The iris is divided into two major regions: The pupillary zone is the inner region whose edge forms the boundary of the pupil. The ciliary zone is the rest of the iris that extends to its origin at the ciliary body.