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Light from a single point of a distant object and light from a single point of a near object being brought to a focus. The accommodation reflex (or accommodation-convergence reflex) is a reflex action of the eye, in response to focusing on a near object, then looking at a distant object (and vice versa), comprising coordinated changes in vergence, lens shape (accommodation) and pupil size.
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. [5]
There are three intrisic ocular muscles: the ciliary muscle, pupillary sphincter muscle (sphincter pupillae) and pupillary dilator muscle (dilator pupillae). [1] [2] All of them are smooth muscles. [2] The ciliary muscle is attached to the zonular fibers and the zonular fibers are the suspensory ligaments of the lens. [2]
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 ( miosis ), [ 2 ] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as opiates / opioids or anti-hypertension medications.
When this muscle contracts, it reduces the size of the pupil. This is the pupillary light reflex, which is an important test of brainstem function. Furthermore, the pupil will dilate if a person sees an object of interest. [citation needed]
The muscles it controls are the striated muscle in levator palpebrae superioris and other extraocular muscles except for the superior oblique muscle and the lateral rectus muscle. The Edinger-Westphal nucleus supplies parasympathetic fibers to the eye via the ciliary ganglion , and thus controls the sphincter pupillae muscle (affecting pupil ...
For an adequate test, vision must not be entirely lost. In dim room light, the examiner notes the size of the pupils. The patient is asked to gaze into the distance, and the examiner swings the beam of a penlight back and forth from one pupil to the other, and observes the size of pupils and reaction in the eye that is lit.
Although the pupillary response, in which the pupil dilates or constricts due to light is not usually called a "reflex", it is still usually considered a part of this topic. Adjustment to close-range vision is known as "the near response", while relaxation of the ciliary muscle to view distant objects is known as the "far response".