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Introduction
We move our eyes to help us see better. Eye movements
1) place the image of the object of interest on the part of the retina with the highest
acuity, the fovea. Try to read without moving your eyes. How much of this sentence
can you make out while looking at this . ?
2) keep the image in the eye stationary in spite of movement of the object or movements
of one's head. Try shaking this page from side to side. Can you make out what it says?
1) Saccades
If an image appears to the side, eye movements called saccades rotate both eyes so that the
image now falls on the fovea. Likewise saccades are used to point the fovea at each word in this
sentence.
2) Vergence
If you look (i.e. direct the foveas) from a far object to a near one, vergence eye
movements are generated: convergence when looked from far to near and divergence when
looking from near to far.
3) Pursuit
When an object that we are looking at moves, the image is kept still on the retina by
means of a pursuit eye movement (e.g. tracking a ball or your moving finger).
11.2
The eyes are rotated by 6 extraocular muscles
Superior
Superior
Rectus Left Eye
Oblique
Inferior Inferior
Rectus Oblique
Nasal
Temporal
11.3
Describe the direct path of the VOR
This is a short reflex with synapses at the vestibular nucleus (vn), motoneurons (6th), and the
lateral rectus muscle (lr).
The medial rectus (mr) of the right eye is also activated by a projection via motoneurons in the
III nerve nucleus.
eye rotation
3.
mr drift
lr
c d
3rd
phasic b
2.
6th 1.
vn
head
a
After the rotation you want the eyes to remain pointing to the left. But the eyes would drift back
to center (d) because muscles need a tonic input to keep the eye rotated.
11.4
Where does the required tonic input come from?
eye rotation
lr mr no tonic
normal
3
3rd
motoneurons
phasic & tonic
direct tonic
6th 2
vn
vestibular afferent phasic 1
PPH
indirect
head
The tonic command originates via the indirect path through the n. prepositus hypoglossi (PPH).
This nucleus converts the phasic vestibular input into a tonic signal, probably via a reverberating
neural circuit, a form of short term memory.
Motoneurons thus normally exhibit the combined phasic & tonic input from:
1) a phasic command (which rotates the eye) from the direct path and
2) a tonic command (which holds it there) from the indirect path.
11.5
Describe the generation of saccadic eye movements
Saccades redirect foveas to objects of interest, e.g. words in this sentence. Saccades are very fast
(velocities of 500deg/s). These high velocities are generated by a phasic burst of ap’s (up to 1000
ap/sec).
eye rotation
lr mr no tonic
normal
3rd
motoneurons
phasic & tonic
tonic
6th direct
PPRF phasic
PPH
indirect
This burst of activity originates in the PPRF (paramedian pontine reticular formation, near the
nucleus of the sixth cranial nerve (6th).)
The PPRF generates conjugate (both eyes) ipsilateral rotations.
As in the VOR, there are two paths:
1) a direct path which mediates the phasic command to move the eyes.
2) an indirect path via PPH which generates the tonic command to hold the eyes in an eccentric
position.
11.6
Lesions in the saccadic system
normal
eye rotation
lr mr
3rd
1
b
2
6th direct c
3
PPRF
PPH
indirect a
11.7
What initiates a saccade?
lr mr
Center A
disengage engage
11.8
What stops a saccade?
lr mr
11.9
How are vertical (& torsional) saccades generated?
Vertical &
Horizontal Torsional
riMLF
INC
3rd
4th
As in horizontal
saccades, you need both a 6th
pulse & step of activity. PPRF
The pulse (both for up and down) is PPH
generated by the riMLF (rostral interstitial
n. of the MLF) in the mesencephalic reticular
formation near 3rd and 6th n.
11.10
What is nystagmus?
Nystagmus is a rhythmic back and forth movement of the eyes. Usually the movement in one
direction is fast and slow in the opposite direction.
When an eye approaches the edge of oculomotor range, a saccade (quick phase) is
generated in the opposite direction to new target
11.11
The cerebellum calibrates saccades
(and all other eye movements)
Left
Normally saccades in the two eyes are equal (conjugate) Target
and reasonably accurate.
11.12
Where do the saccadic commands to the brainstem pprf &
riMLF come from?
In summary:
The superior colliculus directs short latency
involuntary saccades to an unexpected flash.
FEF
PPRF
SC LGN
V1
11.13
Vergence eye movements
These are the slowest to develop during childhood.
These movements are linked to accommodation reflex (the reflex that changes the eye’s lens
properties).
The strongest response is elicited when the image is blurred and there is retinal disparity.
brainstem
blur accomodation lens adjustment
region (pretectum)
retinal vergence
disparity
Visual Cortex
eye movement
11.14
Pursuit eye movements
The sequence of structures that are used to generate pursuit eye movements is:
11.15
How do you sense that an object is moving?
Often it is because its image slips on the retina. For example try looking at your left hand which is
kept still while moving the right hand. You sense motion of the right hand because of its retinal slip.
However as you will see in the problems you can have retinal slip with no sense of motion and also
sense motion with no retinal slip.
Fixation
Drift
Lastly consider what happens between eye
movements. During fixation, the eye's fovea is
examining the image.
11.16
Summary: the function and characteristics of the five eye
movement types.
VOR:
• fast, has only 3 synapses
• but decays during prolonged rotation (cupula adapts)
• calibrated by the cerebellar flocculus
Optokinetic system
• helps the VOR during prolonged rotations
• slow to get going, but that’s all right because the VOR is fast
• visual input projects via the n. optic tract & accessory optic system to the
vestibular n.
• tested by a large full field visual stimulus (e.g. optokinetic drum) which elicits
the sensation of being rotated
Saccades:
•are very fast and accurate. You have no voluntary control over their speed.
(Ask subject to look back and forth between two fingers. If you can see the eye
move during the saccade, its speed is abnormal.)
•If instead of a large saccade you see several small saccades, damage is likely
in the motorneurons, PPRF or cerebellar vermis.
Pursuit:
•used to keep you fovea on a moving target: e.g. a ball
•involuntary
•slow, needs visual feedback, requires many synapses
•disrupted by lesions of the cerebellar flocculus or cortical MT/ MST area
Vergence:
•points both foveae at a near target
•prevents diplopia (double vision)
•disconjugate (in opposite directions)
11.17