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what condition is blindness a major complication in?
diabetes mellitus
why is vision important in the context of this unit?
major contributor to motor behavior, can be used as a tool to treat some movement disorders
how many people worldwide have a visual impairment or blindness?
2.2 billion
Prevalence of diabetic retinopathy
80% in type 1 and 30% in type 2
what factors are associated w/ the development of diabetic retinopathy?
length of disease, mean A1C
where/how does visual processing begin?
at the retina w/ activation of photoreceptors and transduction along specific pathways
light passes through the _____ and forms an image on the ______
lens, retina
on the retina, how does the image appear?
inverted and reversed
central retinal region w/ highest visual acuity
fovea
the eye is focused so that central fixation point falls on _______
fovea of the retina
retinal region that surrounds the fovea, also has high visual acuity
macula
axons leaving the retina in form of the optic nerve, “blind spot” w/ no photoreceptors
optic disc
sensory receptors that allow transduction of visual wavelengths into electrical potentials
retinal photoreceptors
2 classes of retinal hotoreceptors
rods and cones
photoreceptors for vision in low light- more numerous, poor spacial/temporal resolution, do not detect color, concentrated in periphery
rods
photoreceptors for vision in bright light- high spatial/temporal resolution, detect color, concentrated in fovea
cones
which photoreceptors are used for more detailed vision?
cones
what happens to the retina during diabetic retinopathy
bvs damage that leads to micro-hemorrhages and retinal cell death
what happens once photoreceptors in the retina transduce light photons into electrical signals?
series of synaptic connections relay the signal throughout the retina, then the axons of the retinal ganglion cells form the optic and pass info on to central visual pathways
what does the visual field refer to?
the regions of the visual image detected by each eye (divided into quadrants
how are visual field deficits named?
according to visual field loss (not area of the retina)
deficit in half of the VF
hemianopia
defect in quarter of VF
quadrantanopia
VF deficits for both eyes are similar
homonymous
eyes have non-overlapping VF losses
Heteronymous
specific/discrete region of visual loss
scotoma
what damage could cause a monocular scotoma?
damage to specific area of the retina
what damage could cause monocular visual loss?
damage/trauma to optic nerve
what damage could cause bitemporal hemianopia?
damage at optic chiasm
what damage could cause a left contralateral homonymous hemianopia?
right optic tract, right LGN, regions of optic radiation or primary visual cortex
minority of fibers in the optic tract that bypass LGN and enter superior colliculus and pretectal area, associated w/ attention and orientation
extrageniculate pathways
what are the extrageniculate pathways important for?
pupillary light reflex and gaze control
where does the superior colliculus receive info from?
extrageniculate pathways, auditory systems, somatosensory systems
determines amount of light reaching retina, under autonomic control
pupillary reflex
Describe steps of parasympathetic control on the pupillary reflex
light optic tract synapse in sup colliculus nad pretectal areas→ projects to edinger-westpal nucleus→ preganglionic axons travel via CN III to ciliary ganglion and synapse on postganglionic neurons→ control pupillary constrictor muscles
basic path of the central visual pathways
optic nerve→ optic chiasm→ optic tract→ thalamus→ primary visual cortex
axons of ganglion cells enter the CNS w/ partial crossing at chiasm
optic nerve
Partial crossing of info detected by nasal portions of each retina
optic chiasm
Continuation of axons to lateral geniculate nucleas of thalamus after optic chiasm
optic tract
the left visual field is represented in the _______ optic tract
right
areas of the visual field detected by retinal regions of both eyes
binocular zones
areas of the visual field detected by retinal regions of only one eye
monocular zones
layers 1 and 2 of the LGN, relay info from specific retinal ganglion cells that detect motion and spatial analysis
magnocellular layers
layers 3-6 of the LGN, relay info from retinal ganglion cells that detect fine detain and color of visual image
parvocellular layers
axons leaving the LGN that terminate in the cortex adjacent to calcarine sulcus
optic radiations
where is the primary visual cortex located?
posterior region of the occipital lobe
cortical area above the calcarine sulcus where inferior VF are represented
cuneus
cortical area below the calcarine sulcus where superior VF are represented
lingula
receive primary projections from primary visual cortex to temporal and parietal areas
visual association areas
axons that project to the parietooccipital cortex and represent the “where” of visual info (motion, spatial relationships)
dorsal stream
originates in primary visual cortex and axons project to occipitotemporal association cortex, represent the “what” of visual image (form and detail of objects)
ventral stream
upper limb movement to reach for object in visual field, integrated through activation of primary and association cortices (visual, sensory, motor)
skilled reaching
why is visual input needed for grasping/skilled reaching?
object location, grasp aperature, reaching accuracy
at what points of grasping should you examine visual system?
start, visual attention, grasp, disengagement
how does vision contribute to postural control and gait?
avoid obstacles, proper foot placement, irregualr surfaces
motion of the visual environment projected onto the retina during movement in environment
optic flow
vision is integrated with ______ to control posture and gait
vestibular and proprioception