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[clarification needed] The fixation sites are located in the midperiphery of the iris, which is immobile during pupillary movement. The original biconvex lens design was modified into a convex-concave design, [ 1 ] and manufactured as Artisan/Verisyse lens and later the foldable model (Artiflex), a three-piece lens with silicone optic and PMMA ...
It is performed by shining a light in the person's eyes and observing where the light reflects off the corneas. In a person with normal ocular alignment the light reflex lies slightly nasal from the center of the cornea (approximately 11 prism diopters—or 0.5mm from the pupillary axis), as a result of the cornea acting as a temporally-turned ...
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.
The Marcus Gunn pupil is a relative afferent pupillary defect indicating a decreased pupillary response to light in the affected eye. [3] In the swinging flashlight test, a light is alternately shone into the left and right eyes. A normal response would be equal constriction of both pupils, regardless of which eye the light is directed at.
Fixation or visual fixation is the maintaining of the gaze on a single location. An animal can exhibit visual fixation if it possess a fovea in the anatomy of their eye. The fovea is typically located at the center of the retina and is the point of clearest vision. The species in which fixational eye movement has been verified thus far include ...
Pupillary responses can reflect activation of the brain allocated to cognitive tasks. Greater pupil dilation is associated with increased processing in the brain. [53] Vacchiano and colleagues (1968) found that pupillary responses were associated with visual exposure to words with high, neutral or low value.
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Light source – A penlight/light from retinoscope or ophthalmoscope could be used at the start of the near cover test assessment to observe the patient's corneal reflections, and to see whether their fixation is steady, central and maintained. Assessing the patient's fixation is especially important in those patients who have amblyopia. [1]