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Adjust fixation: when visual target moves, during head movements, when acquiring a new target
Eye Movements
Side by side movement
Medial and Lateral recti movement
Upward or downward movement
Superior and Inferior recti movement
Rotates the eye ball
Superior and Inferior Oblique
Part of the Brain responsible for Voluntary fixation
Premotor cortical region of frontal lobe
Part of the Brain responsible for Involuntary fixation
Secondary visual area in occipital cortex
Is a quick, ballistic movement that allows us to change fixation point from one target to another.
Saccadic movement
Visually guided eye movements, after catch-up saccade, eyes can track the target smoothly.
Pursuit movement
The circular group of smooth muscles in the iris
sphincter pupillae
The radial group of smooth muscles in the iris
dilator pupillae.
System responsible for controlling eye movements through coordinated actions of extraocular muscles and their neural pathways.
Ocular Motor system
Centers and pathways above the ocular motor nuclei that control and coordinate eye movements.
Supranuclear control of ocular motility
The eyes move in opposite direction
Disconjugate eye movements
The eyes move in the same direction
Conjugate eye movements
Neural system responsible for generating rapid eye movements that shift fixation from one target to another.
Saccadic System
Slow, continuous eye movements that allow the eyes to follow a moving object and maintain fixation on it.
Smooth pursuit eye movements
Has two components: saccade component and smooth pursuit component.
Optokinetic nystagmus
Eye movement reflex consisting of alternating smooth pursuit and saccadic movements in response to a moving visual scene.
Optokinetic nystagmus Reflex
Visually guided eye movement that keeps a moving object on the fovea.
Smooth pursuit
A fast eye movement that quickly shifts gaze between targets.
Saccade
Disconjugate eye movement in which both eyes move toward the nose to focus on a near object.
Convergence
Disconjugate eye movement in which both eyes move away from the nose to focus on a distant object.
Divergence
Meaning of PPRF
Paramedian Pontine Reticular Formation
The horizontal gaze center responsible for coordinating horizontal eye movements.
Paramedian Pontine Reticular Formation
When we look at the right
Right PPRF sends excitatory signals to the right abducens nucleus so the right lateral rectus muscle is activated.
Crosses the midline, sends excitatory impulse to the contralateral (in this case left) oculomotor nucleus: activation of the left medial rectus muscle.
Internuclear neuron
Coordinated upward and downward movements of both eyes controlled by supranuclear centers in the midbrain.
Vertical gaze
Supranuclear control of eye movements by cortical and brainstem centers that direct ocular motor nuclei.
Upper motor neuronal control of eye movements
Involves structures such as the frontal eye field and superior colliculus that initiate and coordinate voluntary eye movements.
Upper motor neuronal control of eye movements
Is connected with ipsilateral superior colliculus and with contralateral gaze centers of the reticular formation (horizontal and vertical gaze centers).
Frontal eye field
Lesion here causes deficit in saccadic eye movements.
Frontal eye field or in the superior colliculus
are concerned with intentional saccades to the opposite (contralateral) direction.
Frontal eye fields
If the patient has a stroke involving the anterior parts of the premotor cortex
the patient can not intentionally look at the opposite side: if the left frontal eye field is damaged, patient can not look to the right side if asked.