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Chapter 25
Control of Eye Movements
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Undergraduate 3
11/04/2015

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Term
How many axes are used to describe the rotary movements of the eye?
Definition
3 (they pass through the center & are oriented perpendicular to each other)
Term
3 planes used to describe the movements of the eye
Definition
1. frontal
2. saggital
3. transverse (horizontal)
Term
When do we perform horizontal eye movements?
Definition
when looking to one side; ex) when looking to the left, the left eye rotates laterally & the right eye rotates medially
Term
vertical eye movements
Definition
movements that direct the gaze up & down
Term
rotary eye movements
Definition
movements around a sagittal axis
Term
What do the six extraocular muscle ensure?
Definition
that the visual axes of the eyes can be directed precisely toward any point in the visual field
Term
To what to the extraocular muscles attach & where do they all originate from?
Definition
attach to the sclera; originate from the wall of the orbit
Term
How many straight extraocular muscles are there? How many oblique?
Definition
4 straight; 2 oblique
Term
What is the difference in movement between the lateral rectus muscle & the medial rectus muscle?
Definition
lateral = pulls the front of the eye laterally

medial = pulls it medially
Term
What is the difference in movement between the superior rectus muscle & the inferior rectus muscle?
Definition
superior = pulls the eye upward

inferior = pulls it downward
Term
Do the oblique muscles have a more or less complicated course than the rectus muscles?
Definition
more complicated
Term
Where does the inferior oblique muscle originate from & where does it run?
Definition
originates from the bottom of the orbit in its anteromedial part; runs posterolaterally to insert behind the equator (like the superior oblique)
Term
neutral position
Definition
when the eye is viewing a distant object straight ahead
Term
conjugated eye movements
Definition
the two eyes move together to ensure that the image always falls on corresponding points of the two retinas; all natural eye movements are conjugated
Term
When does double vision (diplopia) occur?
Definition
if the eye movements do not occur in conjugation
Term
Are there muscle spindles in the extraocular muscles?
Definition
yes!
Term
What is the difference between saccadic movements & pursuit movements?
Definition
saccadic = the gaze moving quickly from one point of fixation to another

pursuit = the gaze being kept stationary on an object when the object or the head moves
Term
Can eye movements be voluntary or reflex?
Definition
yes!
Term
Where do the different premotor networks that control each of the kinds of eye movement all converge?
Definition
on the motoneurons of the extraocular muscles
Term
When are saccades voluntary?
Definition
when we look at a stationary landscape & fix the gaze at one point for a moment & then move on to another point of fixation
Term
When are saccades reflexes?
Definition
as part of vestibular or optokinetic nystagmus
Term
Why do we constantly scan the visual scene?
Definition
to provide maximal information
Term
How are smooth-pursuit movements voluntary?
Definition
they require that our attention be directed to something in the visual field; the gaze is voluntarily fixed
Term
optokinetic reflex movements
Definition
movements intended to stabilize the retinal image when the whole visual field moves relative to the head
Term
retinal slip
Definition
the stimulus for optokinetic reflex movements; movement of the image on the retina
Term
vestibulo-ocular reflex movements
Definition
eye movements elicited by movements of the head
Term
vergence movements
Definition
change the visual axes of the eyes in relation to each other when the point of fixation moves away from or toward the eyes
Term
convergence of the visual axes
Definition
takes place when an object is approaching the eyes; depends primarily on the activity of the medial muscles with some contribution also from the superior & inferior recti
Term
2 phenomena that accompany convergence movements
Definition
1. accommodation
2. pupillary constriction
Term
5 kinds of eye movement
Definition
1. saccades
2. smooth-pursuit movements
3. optokinetic reflex movements
4. vestibulo-ocular reflex movements
5. vergence movements
Term
What structure integrates information about desired eye position, actual position, retinal slip, & position of the head?
Definition
the reticular formation close to the eye muscle nuclei
Term
Where are commands from reticular formation premotor neuron groups sent?
Definition
to the alpha motoneurons
Term
What type of eye movements is the paramedian pontine reticular formation (PPRF) a "center" for?
Definition
horizontal eye movements
Term
Where do internuclear neurons in the abducens nucleus send their axons?
Definition
to the medial rectus motoneurons of the opposite side
Term
What results from a lesion in the region of the PPRF?
Definition
reduced horizontal conjugate movements to the side of the lesion
Term
Where is the center for vertical & rotary eye movements?
Definition
in the reticular formation close to the oculomotor nucleus
Term
2 cell groups in the region of the reticular formation close to the oculomotor nucleus that controls vertical & rotary eye movements
Definition
1. rostral interstitial nucleus of the medial longitudinal fasciculus
2. interstitial nucleus of Cajal
Term
3 places the reticular formation close to the oculomotor nucleus that controls vertical & rotary eye movements receives afferents from
Definition
1. vestibular nuclei
2. pretectum
3. frontal eye field
Term
Do visual signals pass directly from the retina to the eye muscle nuclei?
Definition
no! they are mediated by several brain stem nuclei which receive impulses other than visual information
Term
2 nuclei that mediate signals from the retina on their way to the eye muscle nuclei
Definition
1. superior colliculus
2. pretectal nuclei
Term
By means of what structure do the vestibular nuclei reach all the cranial nerve nuclei of the eye muscles?
Definition
medial longitudinal fasciculus
Term
2 reflexes mediates by the direct & indirect impulse pathways from the vestibular nuclei to the eye muscle nuclei
Definition
1. vestibulo-ocular reflexes
2. optokinetic reflexes
Term
mesencephalic trigeminal nucleus
Definition
brings proprioceptive signals from muscle spindles of the extraocular muscles to the eye muscle nuclei
Term
What is the difference between the vermis' involvement in eye movement and the flocculus/adjoining parts of the posterior lobe of the cerebellum (paraflocculus)'s involvement in eye movement?
Definition
vermis = particularly concerned with the performance of saccades

flocculus/paraflocculus = most important for pursuit movements
Term
What eye movements are the lateral parts of the pontine nuclei necessary for?
Definition
voluntary pursuit movements & the slow phase of optokinetic nystagmus
Term
Where do the relevant parts of the pontine nuclei receive afferents from?
Definition
the middle superior temporal area (MST) (related to visual analysis of moving objects)
Term
Does a distributed or concentrated cortical network control eye movements?
Definition
distributed network
Term
Do cortical areas for control of eye movements overlap areas related to shift of attention?
Definition
yes!
Term
What type of eye movements is the frontal eye field of the cortex of particular importance for?
Definition
voluntary saccades
Term
3 places where the frontal eye field effects are mediated
Definition
1. superior colliculus
2. pretectal nuclei
3. PPRF
Term
Besides the frontal eye field, 3 cortical areas associated with voluntary saccades
Definition
1. SMA
2. dorsolateral prefrontal cortex
3. posterior parietal cortex
Term
When is the supplementary eye field (a cortical area close to the frontal eye field) particularly active?
Definition
when saccades are coordinated with hand movements
Term
What are the superior colliculus & vermal oculomotor area of the cerebellum both necessary for?
Definition
proper execution of saccades
Term
2 cortical areas particular important for smooth-pursuit movements
Definition
1. several small areas in the parietal lobe
2. the temporo-occipital junction
Term
What is the middle temporal area (MT) important for?
Definition
perception of movement
Term
What does the middle superior temporal area (MST) respond preferentially to?
Definition
moving visual stimuli in a specific direction
Term
What ability is a prerequisite for voluntary slow-pursuit movements?
Definition
the ability to fix the gaze
Term
3 cortical regions that become active in conjunction with directed attention (lesions to these areas produce an impaired ability to fix the gaze)
Definition
1. frontal eye field
2. anterior cingulate gyrus
3. prefrontal cortex
Term
optokinetic nystagmus
Definition
an expression of the strong tendency to fix the gaze
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