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Pupillary response

From Wikipedia, the free encyclopedia
(Redirected fromPupil dilation)
Physiological response that varies the size of the pupil
Dilation and constriction of the pupil

Pupillary response is aphysiological response that varies thesize of the pupil between 1.5 mm and 8 mm,[1] via theoptic andoculomotor cranial nerve.

Aconstriction response (miosis),[2] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such asopiates/opioids or anti-hypertension medications. Constriction of the pupil occurs when thecircular muscle, controlled by theparasympathetic nervous system (PSNS), contracts, and also to an extent when theradial muscle relaxes.

A human adult exhibiting voluntary control over his iris muscles, where he can cause his pupil to dilate and constrict on command

Adilation response (mydriasis), is the widening of the pupil and may be caused byadrenaline;anticholinergic agents;stimulant drugs such asMDMA,cocaine, andamphetamines; and somehallucinogenics (e.g.LSD).[3] Dilation of the pupil occurs when the smooth cells of theradial muscle, controlled by the sympathetic nervous system (SNS), contract, and also when the cells of the iris sphincter muscle relax.

Constricted (left) and dilated (right) pupil of the same eye

The responses can have a variety of causes, from aninvoluntary reflex reaction to exposure or inexposure to light—in low light conditions a dilated pupil lets more light into the eye—or it may indicateinterest in the subject of attention orarousal,sexual stimulation,[4]uncertainty,[5] decision conflict,[6] errors,[7] physical activity[8] or increasingcognitive load[9] or demand. The responses correlate strongly with activity in thelocus coeruleusneurotransmitter system.[10][11][12] The pupils contract immediately beforeREM sleep begins.[13] A pupillary response can be intentionallyconditioned as a Pavlovian response to some stimuli.[14]

Some humans have the ability to exert direct and voluntary control over theiriris sphincter muscles anddilator muscles, granting them the ability to dilate and constrict their pupils on command, regardless of lighting condition and/or eyeaccommodation state.[15] However, this ability is very rare, and its potential use or advantages are unclear.

Thelatency of pupillary response (the time in which it takes to occur) increases with age.[16]

Inophthalmology, intensive studies of pupillary response are conducted via videopupillometry.[17]

Anisocoria is the condition of one pupil being more dilated than the other.

Scheme showing sympathetic and parasympathetic innervation of the pupil and sites of lesion in a Horner's syndrome
Sympathetic connections of the ciliary and superior cervical ganglia
Pupillary responses
Constriction (Parasympathetic)Dilation (Sympathetic)
Muscular mechanismRelaxation ofiris dilator muscle, activation ofiris sphincter muscleActivation ofiris dilator muscle, relaxation ofiris sphincter muscle
Cause inpupillary light reflexIncreased lightDecreased light
Other physiological causesAccommodation reflexFight-or-flight response,sexual arousal
Corresponding non-physiological stateMiosisMydriasis

See also

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References

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  1. ^McDougal, David H.; Gamlin, Paul D. (2015)."Autonomic Control of the Eye".Comprehensive Physiology.5:439–473.doi:10.1002/cphy.c140014.PMC 4919817.
  2. ^Ellis CJ (November 1981)."The pupillary light reflex in normal subjects".The British Journal of Ophthalmology.65 (11):754–9.doi:10.1136/bjo.65.11.754.PMC 1039657.PMID 7326222.
  3. ^Jaanus SD (1992), "Ocular side effects of selected systemic drugs",Optom Clin,2 (4):73–96,PMID 1363080
  4. ^Hess EH, Polt JM (August 1960). "Pupil size as related to interest value of visual stimuli".Science.132 (3423):349–50.Bibcode:1960Sci...132..349H.doi:10.1126/science.132.3423.349.PMID 14401489.S2CID 12857616.
  5. ^Nassar MR, Rumsey KM, Wilson RC, Parikh K, Heasly B, Gold JI (June 2012)."Rational regulation of learning dynamics by pupil-linked arousal systems".Nature Neuroscience.15 (7):1040–6.doi:10.1038/nn.3130.PMC 3386464.PMID 22660479.
  6. ^Lin H, Saunders B, Hutcherson CA, Inzlicht M (May 2018)."Midfrontal theta and pupil dilation parametrically track subjective conflict (but also surprise) during intertemporal choice".NeuroImage.172:838–852.doi:10.1016/j.neuroimage.2017.10.055.PMID 29107773.S2CID 4960140.
  7. ^Decker, Alexandra; Finn, Amy; Duncan, Katherine (2020-11-01)."Errors lead to transient impairments in memory formation".Cognition.204: 104338.doi:10.1016/j.cognition.2020.104338.ISSN 0010-0277.PMID 32593745.S2CID 220044505.
  8. ^Kuwamizu, Ryuta; Yamazaki, Yudai; Aoike, Naoki; Ochi, Genta; Suwabe, Kazuya; Soya, Hideaki (2022-09-24)."Pupil-linked arousal with very light exercise: pattern of pupil dilation during graded exercise".The Journal of Physiological Sciences.72 (1): 23.doi:10.1186/s12576-022-00849-x.ISSN 1880-6562.PMC 10717467.PMID 36153491.
  9. ^Kahneman D, Beatty J (December 1966). "Pupil diameter and load on memory".Science.154 (3756):1583–5.Bibcode:1966Sci...154.1583K.doi:10.1126/science.154.3756.1583.PMID 5924930.S2CID 22762466.
  10. ^Aston-Jones G, Cohen JD (2005-07-21). "An integrative theory of locus coeruleus-norepinephrine function: adaptive gain and optimal performance".Annual Review of Neuroscience.28 (1):403–50.doi:10.1146/annurev.neuro.28.061604.135709.PMID 16022602.S2CID 535645.
  11. ^Joshi S, Li Y, Kalwani RM, Gold JI (January 2016)."Relationships between Pupil Diameter and Neuronal Activity in the Locus Coeruleus, Colliculi, and Cingulate Cortex".Neuron.89 (1):221–34.doi:10.1016/j.neuron.2015.11.028.PMC 4707070.PMID 26711118.
  12. ^Murphy PR, O'Connell RG, O'Sullivan M, Robertson IH, Balsters JH (August 2014)."Pupil diameter covaries with BOLD activity in human locus coeruleus".Human Brain Mapping.35 (8):4140–54.doi:10.1002/hbm.22466.PMC 6869043.PMID 24510607.
  13. ^Lowenstein O, Feinberg R, Loewenfeld IE (April 1963)."Pupillary Movements During Acute and Chronic Fatigue: A New Test for the Objective Evaluation of Tiredness"(PDF).Investigative Ophthalmology.2 (2). St. Louis: C.V. Mosby Company:138–157. Archived fromthe original(PDF) on 2012-03-19.
  14. ^Baker LE (1938). "The Pupillary Response Conditioned to Subliminal Auditory Stimuli". Ohio State University.OCLC 6894644.{{cite journal}}:Cite journal requires|journal= (help)
  15. ^Eberhardt, Lisa V.; Grön, Georg; Ulrich, Martin; Huckauf, Anke; Strauch, Christoph (2021-10-01)."Direct voluntary control of pupil constriction and dilation: Exploratory evidence from pupillometry, optometry, skin conductance, perception, and functional MRI".International Journal of Psychophysiology.168:33–42.doi:10.1016/j.ijpsycho.2021.08.001.ISSN 0167-8760.
  16. ^Feinberg R, Podolak E (September 1965).Latency of pupillary reflex to light stimulation and its relationship to aging(PDF). Federal Aviation Agency, Office of Aviation Medicine, Georgetown Clinical Research Institute. p. 12.OCLC 84657376. Archived fromthe original(PDF) on 2012-03-20.
  17. ^Ishikawa S, Naito M, Inaba K (1970). "A new videopupillography".Ophthalmologica.160 (4):248–59.doi:10.1159/000305996.PMID 5439164.
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