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When light is shone into right eye, right pupil constricts. Direct reflex of the right pupil is unaffected, The right afferent limb, right CN II, and the right efferent limb, right CN III, are both intact. The left consensual reflex is lost. When the right eye is stimulated by light, left pupil does not constrict consensually. Right afferent ...
Positive Hirschberg sign: the light falls on the centre of the right pupil, but is medial to the centre of the left pupil; therefore, the person in the picture has left exotropia. Synonyms Hirschberg corneal reflex test
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.
The fourth Purkinje image (P4) is the reflection from the inner (posterior) surface of the lens. Unlike the others, P4 is an inverted image. Purkinje–Sanson images are named after Czech anatomist Jan Evangelista Purkyně (1787–1869) and after French physician Louis Joseph Sanson (1790–1841).
Image credits: tkcool73 #5. Pharmacist: when looking up any health-related info, sites ending in .gov or .edu are the most trustworthy. Some .org are great too, like mayoclinic.
It can be seen by shining the beam of a small bright light through the pupil from the periphery of a subject's vision. This results in an image of the light being focused on the periphery of the retina. Light from this spot then casts shadows of the blood vessels (which lie on top of the retina) onto unadapted portions of the retina.
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The ciliospinal reflex (pupillary-skin reflex) consists of dilation of the ipsilateral pupil in response to pain applied to the neck, face, and upper trunk. If the right side of the neck is subjected to a painful stimulus, the right pupil dilates (increases in size 1-2mm from baseline).