C11- Ocular movements

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Questions and Answers

The study of eye movements is relatively straightforward due to the complex interplay of numerous muscles.

False (B)

The visual acuity of the retina is uniform across its entire surface.

False (B)

The fovea has a high degree of convergence from photoreceptors to ganglion cells.

False (B)

To achieve the best visual information of an object, it is necessary for the light points composing the object to be focused on the peripheral regions of the retina.

<p>False (B)</p> Signup and view all the answers

The size of the fovea poses no limitations to the ability to perceive the entire image of very large objects.

<p>False (B)</p> Signup and view all the answers

Among the mechanisms to correct for limitations on visual acuity, there are retinal stabilization reflexes that occur voluntarily.

<p>False (B)</p> Signup and view all the answers

Gaze stabilization movements are unique to humans.

<p>False (B)</p> Signup and view all the answers

Gaze stabilization movements aim to compensate for self-motion in order to avoid a blurred vision.

<p>True (A)</p> Signup and view all the answers

The optokinetic system induces compensatory eye movements in the same direction as a visual image slipping across the retina.

<p>False (B)</p> Signup and view all the answers

Optokinetic nystagmus involves an alteration of slow and fast eye movements.

<p>True (A)</p> Signup and view all the answers

Pathological nystagmus always results from damage to the visual system.

<p>False (B)</p> Signup and view all the answers

Optic flow is tuned for very high-speed movements exceeding human capabilities.

<p>False (B)</p> Signup and view all the answers

Gaze shifting is a visual feature common to all animals.

<p>False (B)</p> Signup and view all the answers

The fovea limits the velocity of retinal stimuli.

<p>True (A)</p> Signup and view all the answers

Pursuit movements are slow and abrupt.

<p>False (B)</p> Signup and view all the answers

Saccadic movements are the slow, smooth tracking movements of the eyes.

<p>False (B)</p> Signup and view all the answers

People are consciously aware of performing saccadic movements.

<p>False (B)</p> Signup and view all the answers

During gaze shifting both eyes move independently to explore an object.

<p>False (B)</p> Signup and view all the answers

Saccadic movements are involuntary eye movements used to track a moving object.

<p>False (B)</p> Signup and view all the answers

Pursuit movements keep a moving stimulus on the fovea once foveation is achieved and are always under conscious control of the observer.

<p>False (B)</p> Signup and view all the answers

Vergence movements are unique to animals with only retinal specialization.

<p>False (B)</p> Signup and view all the answers

The medial rectus and lateral rectus are an example of an antagonistic pair of extraocular muscles.

<p>True (A)</p> Signup and view all the answers

The abducens nerve (IV) is responsible for controlling eye movement muscles.

<p>False (B)</p> Signup and view all the answers

The resting centric position of the eye is maintained through active contraction of eye muscles.

<p>False (B)</p> Signup and view all the answers

Moving the eyes from the resting centric position always requires a dynamic force, but not necessarily a static force.

<p>False (B)</p> Signup and view all the answers

The rate of motoneuronal discharge is directly proportional to the absolute distance from the resting eye position, not the degree of distance.

<p>False (B)</p> Signup and view all the answers

The vestibulo-ocular reflex (VOR) uses the semicircular canals to detect head rotations and produce eye movements in a parallel direction to stabilize the line of sight.

<p>False (B)</p> Signup and view all the answers

The VOR is typically suppressed and non-functional in an awake, healthy person who is actively turning their head.

<p>False (B)</p> Signup and view all the answers

Impairment of cranial nerves can be evaluated by assessing the integrity of the brainstem using the VOR.

<p>True (A)</p> Signup and view all the answers

During a VOR assessment, having the patient focus on a point while the head is moved quickly primarily causes saccadic eye movements.

<p>False (B)</p> Signup and view all the answers

The medial longitudinal fasciculus (MLF) and ocular movements terminate within the cerebral cortex.

<p>False (B)</p> Signup and view all the answers

The VOR compensates only for rotational movements, not for tilting of the head.

<p>False (B)</p> Signup and view all the answers

The oculomotor nuclei receive information from the labyrinth that promotes consensual eye movements by sending different information to each eye.

<p>True (A)</p> Signup and view all the answers

Omnipause neurons must be activated to initiate a saccade.

<p>False (B)</p> Signup and view all the answers

The VOR can effectively counteract head rotations up to 360 degrees.

<p>False (B)</p> Signup and view all the answers

Voluntary, dexterous movements are organized by a command center in the brainstem.

<p>False (B)</p> Signup and view all the answers

The posterior parietal cortex is responsible for executing saccadic eye movements.

<p>False (B)</p> Signup and view all the answers

Smooth pursuit eye movements help stabilize the retinal image of a large, rapidly moving background object.

<p>False (B)</p> Signup and view all the answers

A lesion of the third cranial nerve typically causes converging strabismus.

<p>False (B)</p> Signup and view all the answers

Damage to the oculomotor nerve always results in complete ptosis and a fully closed eye.

<p>False (B)</p> Signup and view all the answers

An oculomotor nerve lesion leads to a constricted pupil because the parasympathetic nerve supply is hyperactive.

<p>False (B)</p> Signup and view all the answers

In the case of an oculomotor nerve lesion, the consensual pupillary light reflex in the unaffected eye is also absent.

<p>False (B)</p> Signup and view all the answers

An oculomotor nerve lesion impairs the eyes’ ability to accommodate, preventing focus on close objects.

<p>True (A)</p> Signup and view all the answers

Flashcards

Visual Acuity

The ability to see clearly and distinguish details. It refers to the sharpness of vision.

Fovea

The central region of the retina responsible for sharp central vision. It contains a high density of cone photoreceptors with small receptive fields.

Retinal Stabilization

The process of keeping a stable image on the retina despite body movements. It involves involuntary eye adjustments to compensate for head or body motion.

Gaze Stabilization

Eye movements that counteract the effects of self-motion on visual acuity. They ensure a clear image on the retina despite head or body movements.

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Gaze Shifting

Eye movements that shift gaze from one point to another, allowing us to explore visual space.

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Vergence

Eye movements that adjust the focus of both eyes on a single object, ensuring proper binocular vision. It's essential for depth perception.

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Receptive Field

The area of the retina that a single photoreceptor responds to. Smaller receptive fields result in higher visual acuity.

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Convergence

The convergence of multiple photoreceptors onto a single ganglion cell. Less convergence means higher acuity.

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Optokinetic System

A reflexive eye movement that compensates for the movement of a visual scene, like watching a moving train, by moving the eyes in the opposite direction.

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Optokinetic Nystagmus (OKN)

A way to test the optokinetic system by presenting moving vertical bars that cause the eyes to track, then quickly jump back, creating a pattern of slow and fast movements.

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Optokinetic Response

A specific eye movement that is a response to large movements of the visual scene.

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Saccadic Movements

A rapid, ballistic eye movement where the eyes abruptly change their focus to a new point.

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Pursuit Movements

A smooth, continuous eye movement used to track a moving object.

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Foveal Stabilization

The process of stabilizing a visual target on the fovea by activating extraocular muscles to control eye movement.

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Oculomotor Control

The study of how eye movements are controlled and used.

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Eye Tracker

A device that tracks eye movements, recording where a person is looking.

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Antagonistic Pairs in Eye Muscles

Muscle pairs responsible for eye movements, working in opposition to control precise movements.

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Medial Longitudinal Fasciculus (MLF)

Cranial nerve pathways that control eye muscles, coordinating eye movements for coherent visual experience.

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Resting Centric Position

The natural position the eye maintains when relaxed and not actively being moved.

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Dynamic Force

The force required to move the eye from its resting position, overcoming muscle resistance.

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Static Force

The sustained force needed to hold the eye in a new position after movement.

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Vestibulo-Ocular Reflex (VOR)

The neural system that uses the semicircular canals in your inner ear to detect head rotations and automatically adjust eye movement to keep your gaze stable.

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Suppressed VOR

The reflex that allows you to turn your head and simultaneously move your eyes in a specific direction.

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VOR Assessment

A test that assesses the integrity of the brainstem by measuring the VOR's response to rapid head movements.

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Nystagmus

The involuntary rhythmic eye movement that can be a sign of neurological disorders.

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VOR Limitations

The VOR is able to compensate for head rotations up to 180 degrees, but not 360 degrees due to physical limitations of the eyeball.

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VOR Pathway

The process of detecting and interpreting information from the inner ear's semicircular canals to control eye movements. This information reaches the brainstem and then controls the muscles that move the eyes.

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Bilateral Control of VOR

The VOR is a complex mechanism that requires coordinated control of both eyes, receiving inputs from both sides of the inner ear. This ensures symmetrical eye movement.

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Saccade Center

Specialized brain region responsible for coordinating rapid eye movements (saccades).

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Omnipause Neurons

Neurons that inhibit burst neurons during saccades, preventing unwanted movements.

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Burst Neurons

Neurons that trigger eye movements by sending signals to the oculomotor nucleus.

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Stereotyped Movement

The brain's ability to automatically control movements like breathing, chewing, and locomotion without conscious effort.

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Smooth Pursuit

The ability of the eye to smoothly follow a moving object, minimizing retinal image blurring.

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Oculomotor Nerve Lesion

A condition characterized by a drooping eyelid, outward deviation of the eye, dilated pupil, and unresponsive pupil to light.

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Pupillary Light Reflex

An involuntary reflex that constricts the pupil in response to light.

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Accommodation

The ability of the eye to adjust its focus for near and far vision.

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Cortical Saccade Centers

A group of brain regions that plan and initiate saccades but do not directly execute the movements.

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Study Notes

Ocular Movements

  • Eye movements are easier to study than movements of other body parts due to the relative simplicity of muscle actions on the eyeball.
  • There are 6 extraocular muscles, each with a specific role in adjusting eye position.
  • Eye movements are stereotyped, with partially distinct central circuits governing each.

Retinal Stabilization

  • Spatial resolution of the retinal transduction system is limited by retinal photoreceptor mosaic properties.
  • Retina is not homogeneous, with visual acuity varying across its parts.
  • Fovea is the high-acuity region of the retina, containing cones with small receptive fields.
  • Fovea has a 1:1 receptor-to-ganglion cell correspondence in some areas.
  • The fovea's high acuity allows for precise object details focusing on it.
  • Fovea size limits how much of a large object can be focused.
  • Eye movement degrees of freedom need adjusting to maintain visual acuity with body movements.
  • Retinal stabilization reflexes (involuntary) compensate for these limitations by adjusting eye movement in response to body movement to keep images steady.
  • Different types of stabilization movements exist based on aim; - Gaze stabilization compensates for self-motion to avoid blurry vision. - Gaze shifting accurately positions the fovea for targeted stimuli. - Vergence is part of binocular vision, adjusting eye angles for clear focus of one object.

Gaze Stabilization (all animals)

  • These movements counteract self-motion effects on visual acuity, keeping images stable during head movement.
  • Adjusted eye movements compensate for motion.

Vestibulo-ocular Reflex (VOR)

  • This involuntary reflex uses vestibular information to counteract head movements.
  • The eyes move in the opposite direction to the head to maintain visual stability.
  • Works rapidly during brief, transient head movements.
  • Less effective for slow or sustained head rotations.
  • VOR is active from the lowest to the highest velocity of head movement.
  • VOR is used to examine or assess the integrity of the brainstem.

Optokinetic Reflex (OKR)

  • This reflex uses visual cues (the visual field) to counteract visual movement by moving the eyes in the opposite direction.
  • Especially sensitive to slow visual field movements.
  • Response builds up slowly.
  • Works well when head movements are slow.
  • OKR is complementary to the VOR.

Gaze Shifting

  • This specific type of movement (only in animals with retinal specializations) accurately points the foveal regions of the retina at a target in order to maintain visual stability.
  • Two types of movement exist: saccades and pursuit movements - Saccades: swift, jerky movements rapidly changing eye direction. - Pursuit movements: smooth, tracking eye movement necessary to follow a moving stimulus to maintain it focused on the fovea.

Vergence

  • Unique to animals with binocular vision.
  • Adjusting eye angles for the focus of an object at varying distances.
  • Crucial for maintaining a unified view of the scene.

Eye Movements overview

  • All eye movement mechanisms rely on a set of common motor neurons and muscles organized in antagonistic pairs.
  • Three cranial nerves (III, IV, and VI) control the eye muscles.

Nystagmus

  • A reflexive eye movement that involves quick ("fast") and slow movements.
  • Occurs when trying to rotate the eye past its maximum ability to counteract motion.
  • A visual cue is used to reset and adjust the eyes location from other movements

Optokinetic Reflex overview

  • Extracting visual information to determine relative visual field motion and responding with a compensating eye movement.
  • Compensating for slow visual movements using inputs from the retina
  • Damage to the AOS/pretectum can disrupt this visual feedback response.

Saccades

  • Rapid, precise eye movements.
  • Typically high velocity (as fast as 800°/sec)
  • Used to shift focus from one location to another.
  • Evoked by a variety of stimuli (visual, somatosensory, and auditory).

Smooth Pursuit

  • Continuous tracking movements following a moving image.
  • Eye and image movement are roughly the same speed.
  • A dedicated neural circuit processes information for these subtle eye movements.

Clinical Aspects (III cranial nerve lesion)

  • Complete ptosis (drooping eyelid)
  • Divergent strabismus ("down and out") eye position
  • Dilated pupil, unresponsive to light or accommodation.

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