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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.
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.
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.
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.
The pupillary reflex results in the pupil constricting (left) and dilating (right) These include the pupillary light reflex and accommodation reflex . 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.
It also changes the shape of the lens within the eye but not the size of the pupil [5] which is carried out by the sphincter pupillae muscle and dilator pupillae. The ciliary muscle, pupillary sphincter muscle and pupillary dilator muscle sometimes are called intrinsic ocular muscles [6] or intraocular muscles. [7]
The pupillary dilator acts to increase the size of the pupil to allow more light to enter the eye. It works in opposition to the pupillary constrictor. [7] Pupil dilation occurs when there is insufficient light for the normal function of the eye, and during heightened sympathetic activity, for example in the "fight-or-flight reflex". [7] [8]
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: