Page 373 - Color_Atlas_of_Physiology_5th_Ed._-_A._Despopoulos_2003
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Eye Movements, Stereoscopic Vision,  cade), a new object can be brought into focus.
       Depth Perception                Damage to the cerebellum or organ of balance
                                       (! p. 342) can result in pathological nystag-
       Conjugated movement of the eyes occurs when  mus.
       the external eye muscles move the eyes in the  The brain stem is the main center re-
       same direction (e.g., from left to right),  sponsible for programming of eye movements.
       whereas vergence movement is characterized  Rapid horizontal (conjugated) movements
       by opposing (divergent or convergent) eye
                                       such as saccades and rapid nystagmus move-
    Central Nervous System and Senses  of the visual axes. In addition, the pupil con-  grammed in the mesencephalon. The cerebel-
       movement. The axes of the eyes are parallel
                                       ment are programmed in the pons, whereas
       when gazing into the distance. Fixation of the
                                       vertical and torsion movements are pro-
       gaze on a nearby object results in convergence
                                       lum provides the necessary fine tuning
       tracts (to increase the depth of focus) and ac-
                                       (! p. 326). Neurons in the region of the
       commodation of the lens occurs (! p. 346).
                                       Edinger–Westphal nucleus are responsible for
       The three reactions are called near-vision re-
                                       vergence movements.
       sponse or convergence response.
                                        In near vision, depth vision and three-di-
                                       mensional vision are primarily achieved
       Strabismus. A greater power of accommodation for
                                       through the coordinated efforts of both eyes
       near vision is required in hyperopia than in normal vi-
                                       of vision (! A). If both eyes focus on point A
       convergence impulse, hyperopia is often associated
                                       (! B), an image of the fixation point is pro-
       with squinting. If the visual axes wander too far
                                       jected on both foveae (A L, A R), i.e., on the corre-
       apart, vision in one eye will be suppressed to avoid
    12  sion. Since accommodation is always linked with a  and are therefore limited to the binocular field
       double vision (diplopia). This type of visual impair-
                                       sponding areas of the retina. The same applies
       ment, called strabismic amblyopia, can be either tem-  for points B and C (! B) since they both lie on a
       porary or chronic.
                                       circle that intersects fixation point A and nodal
       Saccades. When scanning the visual field, the  points N (! p. 347 B) of the two eyes (Vieth–
       eyes make jerky movements when changing  Müller horopter). If there were an imaginary
       the point of fixation, e.g., when scanning a line  middle eye in which the two retinal regions (in
       of print. These quick movements that last  the cortex) precisely overlapped, the retinal
       10–80 ms are called saccades. Displacement of  sites would correspond to a central point A C !
       the image is centrally suppressed during the  A L + A R (! C). Assuming there is a point D out-
       eye due to saccadic suppression. A person look-  side the horopter (! C, left), the middle eye
       ing at both of his or her eyes alternately in a  would see a double image (D!, D") instead of
       mirror cannot perceive the movement of his or  point D, where D! is from the left eye (D L). If D
       her own eyes, but an independent observer  and A are not too far apart, central processing
       can. The small, darting saccades function to  of the double image creates the perception
       keep an object in focus.        that D is located behind D, i.e., depth perception
         Objects entering the field of vision are re-  occurs. A similar effect occurs when a point E
       flexively  imaged  in  the  fovea  centralis  (! C, right) is closer than A; in this case, the E!
       (! p. 348). Slow pursuit movements of the  image will arise in the right eye (E! R) and E will
       eyes function to maintain the gaze on moving  be perceived as being closer.
       objects. Nystagmus is characterized by a com-  Depth perception from a distance. When
       bination of these slow and rapid (saccade-like)  viewing objects from great distances or with
       opposing eye movements. The direction of  only one eye, contour overlap, haze, shadows,
       nystagmus (right or left) is classified according  size differences, etc. are cues for depth percep-
       to the type of rapid phase, e.g., secondary nys-  tion (! D). A nearby object moves across the
       tagmus (! p. 342). Optokinetic nystagmus oc-  field of vision more quickly than a distant ob-
       curs when viewing an object passing across  ject, e.g., in the case of the sign compared to
       the field of vision, e.g., when looking at a tree  the wall in plate D). In addition, the moon ap-
       from inside a moving train. Once the eyes have  pears to migrate with the moving car, while
  360
       returned to the normal position (return sac-  the mountains disappear from sight.
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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