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14 Cards in this Set

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What are saccades?
quick, darting movements that change point of fixation
--can be voluntary or involuntary

--what initiates voluntary saccades?
-what initiates reflex saccades? (turn to bright light, noise, or touch)
--voluntary saccades are initiated by the FEFs
--reflex saccades are initiated by superior colliculus
----superior colliculus also projects to the cervical SC via tectospinal pathway; therefore can turn head/neck if needed
What are smooth pursuit movements?
tracking movements that keep moving stimulus on fovea
--a kind of 'reflex' bc we can't do it without following something
what is vergence?
movements which allow the fovea of each eye to be aligned with objects at a specific distance.
--convergent mvmts allow eyes to fixate on nearer object, while divergent allow eyes to fixate on distant object
-NON-CONJUGATE - eyes move in diff directions rather than same.
what is vestibulo-ocular reflex?
rotation of head in one direction causes eyes to rotate at equal speed in opp direction
what is optokinetic reflex?
ie looking out window of car.
--part of scene moving fast. fixate on object and follow with smooth pursuit movment and then saccade to new object

optokinetic nystagmus - slow movment in one direction and then fast saccade in other direction

vestibulo-ocular and optokinetic reflexes work together to stabilize visual image.
what is fixation (on a stationary object)?
active system
- superior colliculus
eye muscle innervation
SO4 LR6 R3

4 is crossed and so is the nucleus serving superior rectus
rotational movements of eyes

intorsion
extorsion
intorsion = top of eye toward nose

extorsion = top of eye away from nose
where are the horizontal gaze centers located?
paramedian Pontine reticular formation (PPRF)

--near midline in pons, close to abducens nucleus
where are vertical gaze centers located?
rostral interstitial nucleus of MLF (riMLF)

-rostral midbrain

oblique mvmts occur by both centers being activated to varying degree
What is internuclear ophthalmoplegia?
lesion of MLF

characteristic in MS which causes scattered areas of demyelination

--when patient asked to look to the side with the lesion; the opposite eye does not follow. ie. if left MLF damaged and you ask patient to look to the right. the right eye will abduct but the left eye will not adduct. but if you ask patient to converge. the left eye will adduct as will the right eye.
What are the four centers that control saccades?
1. superior colliculus
2. FEF - Brodman's area 8
3. supplementary eye field
4. parietal eye field - impt for visual attenuation
what projects directly to the gaze centers?
the (L) superior colliculus which receives input from contralateral visual field (R) --since it is 'seeing' the R side, it will project to the R PPRF

--also FEFs project directly to the gaze centers as well as the superior colliculus
Where does neural control of smooth pursuit movment come from?
smooth pursuit = tracking a moving target

--visual cortex and FEF and parietal eye fields. as well as cerebellum.