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The oculomotor nerve, also known as the third cranial nerve, cranial nerve III, or simply CN III, ... This is the basis of the "swinging-flashlight test".
The trochlear nerve controls the superior oblique muscle to rotate the eye along its axis in the orbit medially, which is called intorsion, and is a component of focusing the eyes on an object close to the face. The oculomotor nerve controls all the other extraocular muscles, as well as a muscle of the upper eyelid.
When light enters one eye, it is detected by retinal photoreceptors and transmitted via the optic nerve to the pretectal nucleus in the midbrain. From there, signals are sent bilaterally to the Edinger-Westphal nuclei, which send parasympathetic fibers via the oculomotor nerves to the ciliary ganglia.
Abnormal oculomotor test results may indicate either systemic or central pathology as opposed to peripheral (vestibular) pathology. Optokinetics generally are used as a cross-check on abnormal responses to oculomotor tests. Both of these tests use a "light bar" involving a moving light (usually red) which the patient will track with the eyes.
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.
Oculomotor nerve palsy or oculomotor neuropathy [1] is an eye condition resulting from damage to the third cranial nerve or a branch thereof. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements (four of the six extraocular muscles, excluding only the lateral rectus and superior oblique ).
Emergency physicians routinely test pupillary light reflex to assess brain stem function. Abnormal pupillary reflex can be found in optic nerve injury, oculomotor nerve damage, brain stem lesion (including brain stem death), and depressant drugs, such as barbiturates. [5] [6] Examples are provided as below:
The oculomotor nerve (III), trochlear nerve (IV) and abducens nerve (VI) coordinate eye movement. The oculomotor nerve controls all muscles of the eye except for the superior oblique muscle controlled by the trochlear nerve (IV), and the lateral rectus muscle controlled by the abducens nerve (VI). This means the ability of the eye to look down ...