Pupillary reflex

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Pupillary reflex refers to one of the reflexes associated with pupillary function.

Types include:

See also:

Although pupillary dilation is not usually called a "reflex", it is still usually considered a part of this topic.

Accommodation and vergence are also known as the "near response", while inhibition of the ciliary muscle is also known as the "far response".

Muscles of orbit

Tracking	Smooth pursuit: Parietal lobe · Occipital lobe Saccade: Frontal eye fields Nystagmus → Fixation reflex → PPRF

Horizontal gaze	PPRF → Abducens nucleus → MLF → Oculomotor nucleus → Medial rectus muscle

Vertical gaze	Rostral interstitial nucleus → Oculomotor nucleus, Trochlear nucleus → Muscles of orbit

Vestibulo-ocular reflex	Semicircular canal → Vestibulocochlear nerve → Vestibular nuclei → Abducens nucleus → MLF (Vestibulo-oculomotor fibers) → Oculomotor nucleus → Medial rectus muscle

Pupillary dilation	1° (Posterior hypothalamus → Ciliospinal center) → 2° (Superior cervical ganglion) → 3° (Sympathetic root of ciliary ganglion → Nasociliary nerve → Long ciliary nerves → Iris dilator muscle)

Pupillary light reflex (constriction)	1° (Retina → Optic nerve → Optic chiasm → Optic tract → Pretectal nucleus) → 2° (Edinger-Westphal nucleus) → 3° (Oculomotor nerve → Parasympathetic root of ciliary ganglion → Ciliary ganglion) → (4° Short ciliary nerves → Iris sphincter muscle)

Accommodation vergence	1° (Retina → Optic nerve → Optic chiasm → Optic tract → Visual cortex → Brodmann area 19 → Pretectal area) → 2° (Edinger-Westphal nucleus) → 3° (Short ciliary nerves → Ciliary ganglion → Ciliary muscle)

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