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Pupillary response is a physiological response that varies the size of the pupil between 1.5 mm and 8 mm, [1] via the optic and oculomotor cranial nerve. A constriction response , [2] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as opiates/opioids or anti-hypertension medications.
Nerves involved in the resizing of the pupil connect to the pretectal nucleus of the high midbrain, bypassing the lateral geniculate nucleus and the primary visual cortex. From the pretectal nucleus neurons send axons to neurons of the Edinger-Westphal nucleus whose visceromotor axons run along both the left and right oculomotor nerves .
The opposite, constriction of the pupil, is referred to as miosis. Both mydriasis and miosis can be physiological. Both mydriasis and miosis can be physiological. Anisocoria is the condition of one pupil being more dilated than the other.
Whereas, the pupil is the passive opening formed by the active iris. Pupillary reflex is synonymous with pupillary response, which may be pupillary constriction or dilation. Pupillary reflex is conceptually linked to the side (left or right) of the reacting pupil, and not to the side from which light stimulation originates.
The Neurological Pupil index, or NPi, is an algorithm developed by NeurOptics, Inc., that removes subjectivity from the pupillary evaluation. A patient's pupil measurement (including variables such as size, latency, constriction velocity, dilation velocity, etc.) is obtained using a pupillometer, and the measurement is compared against a normative model of pupil reaction to light and ...
The pupil diameter can vary greatly due to various factors (primarily the pupillary light reflex), from constriction to as small as 2 mm, to dilation larger than 8 mm in some individuals, though the maximal dilation also varies substantially by individual and decreases with age. The pupil gets wider in the dark and narrower in light.
The pupil constricts when the iris sphincter muscle is stimulated and contracts In humans, it functions to constrict the pupil in bright light ( pupillary light reflex ) or during accommodation . [ citation needed ] In lower animals, the muscle cells themselves are photosensitive causing iris action without brain input.
Next, constriction of the pupil occurs. Because the lens cannot refract light rays at the edges well, the image produced by the lens is blurry around the edges so the pupil constricts when one attempts to focus on nearby objects. [citation needed] Lastly, accommodation of the lens occurs. This is an alteration in the curvature of the lens that ...