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Pupillary Reflex

The pupillary reflex, also known as the light reflex, is a physiological response of the pupil to changes in light intensity.
This involuntary reaction is controlled by the autonomic nervous system and serves to regulate the amount of light entering the eye, protecting the retina from damage.
The pupil constricts (becomes smaller) in bright light and dilates (becomes larger) in dim light, allowing the appropriate amount of light to reach the photoreceptors.
Studying the pupillary reflex can provide insights into the function of the visual system and the underlying neurological processes.
Researchers utilize this phenomenon to investigate a variety of ocular and neurological conditions, making it an important tool in clinical and experimental settings.

Most cited protocols related to «Pupillary Reflex»

To label ipRGCs, a linearized mouse BAC20 (link) containing tdTomato was injected into B6SJL embryos, with transgenics backcrossed to C57BL/6J. Melanopsin immunostaining3 (link) confirmed specific expression. For recordings, mice (~P20–90) were dark-adapted overnight, anesthetized, enucleated, and euthanized. The retina was flat-mounted or dissociated (Supplementary Information S1). Aerated, heated bicarbonate-buffered Ames, containing synaptic blockers for flat-mount experiments, ran at ~5 ml/min through a 1-ml chamber. IpRGCs were visualized with seconds of fluorescence followed by infrared-DIC (Supplementary Information S1). Patch-clamp recordings used a KCl-based pipette solution (pH 7.2; see continued Methods) supplemented with (in mM) 2 glutathione, 4 MgATP, and 0.3 Tris-GTP for whole-cell recordings or, alternatively, 125–250 μM amphotericin B for perforated-patch recording. For loose-patch recordings, the pipette contained HEPES-buffered Ames. Pipettes were parafilm-wrapped, and an Axopatch 200B in voltage-clamp or fast-current-clamp utilized (Supplementary Information S1). Recording stability was checked periodically with a test flash, and series resistance monitored. Vhold was −80 mV, initially for improving signal resolution though the photocurrent I–V relation was later shown to be rather shallow between −90 mV and −30 mV (Ref. 24 (link)). Liquid-junction potential was corrected. Photocurrent was low-pass filtered at 2 Hz (dim flashes) or 10 Hz (bright flashes) and membrane voltage at 10 kHz. Loose-patch recording bandwidth was 10 Hz - 1 kHz, sometimes with a notch filter. Sampling exceeded the Nyquist minimum. Flashes (10-nm bandwidth or occasionally white) were diffuse (730-μm diameter spot) or local (40-or 100-μm diameter), temporally spaced for full recovery between flashes (30–120 sec). White flashes, for response saturation, were converted to equivalent 480-nm flashes by response-matching (Supplementary Information S1). Consensual pupillary light reflex measurements followed previous work14 (link), with one eye of the unanesthetized mouse videoed under infrared and the other stimulated by Ganzfeld light (Supplementary Information S1). Data are mean ± S.D.
Publication 2008
Adenosine Triphosphate, Magnesium Salt Amphotericin B Animals, Transgenic Bicarbonates Embryo Fluorescence Glutathione HEPES Light melanopsin Mice, Laboratory Mineralocorticoid Excess Syndrome, Apparent Neoplasm Metastasis Pupillary Reflex Retina tdTomato Tissue, Membrane Tromethamine
To label ipRGCs, a linearized mouse BAC20 (link) containing tdTomato was injected into B6SJL embryos, with transgenics backcrossed to C57BL/6J. Melanopsin immunostaining3 (link) confirmed specific expression. For recordings, mice (~P20–90) were dark-adapted overnight, anesthetized, enucleated, and euthanized. The retina was flat-mounted or dissociated (Supplementary Information S1). Aerated, heated bicarbonate-buffered Ames, containing synaptic blockers for flat-mount experiments, ran at ~5 ml/min through a 1-ml chamber. IpRGCs were visualized with seconds of fluorescence followed by infrared-DIC (Supplementary Information S1). Patch-clamp recordings used a KCl-based pipette solution (pH 7.2; see continued Methods) supplemented with (in mM) 2 glutathione, 4 MgATP, and 0.3 Tris-GTP for whole-cell recordings or, alternatively, 125–250 μM amphotericin B for perforated-patch recording. For loose-patch recordings, the pipette contained HEPES-buffered Ames. Pipettes were parafilm-wrapped, and an Axopatch 200B in voltage-clamp or fast-current-clamp utilized (Supplementary Information S1). Recording stability was checked periodically with a test flash, and series resistance monitored. Vhold was −80 mV, initially for improving signal resolution though the photocurrent I–V relation was later shown to be rather shallow between −90 mV and −30 mV (Ref. 24 (link)). Liquid-junction potential was corrected. Photocurrent was low-pass filtered at 2 Hz (dim flashes) or 10 Hz (bright flashes) and membrane voltage at 10 kHz. Loose-patch recording bandwidth was 10 Hz - 1 kHz, sometimes with a notch filter. Sampling exceeded the Nyquist minimum. Flashes (10-nm bandwidth or occasionally white) were diffuse (730-μm diameter spot) or local (40-or 100-μm diameter), temporally spaced for full recovery between flashes (30–120 sec). White flashes, for response saturation, were converted to equivalent 480-nm flashes by response-matching (Supplementary Information S1). Consensual pupillary light reflex measurements followed previous work14 (link), with one eye of the unanesthetized mouse videoed under infrared and the other stimulated by Ganzfeld light (Supplementary Information S1). Data are mean ± S.D.
Publication 2008
Adenosine Triphosphate, Magnesium Salt Amphotericin B Animals, Transgenic Bicarbonates Embryo Fluorescence Glutathione HEPES Light melanopsin Mice, Laboratory Mineralocorticoid Excess Syndrome, Apparent Neoplasm Metastasis Pupillary Reflex Retina tdTomato Tissue, Membrane Tromethamine
The circadian response of ipRGCs and cone photoreceptors were determined during a
20–24 h laboratory test period, during which the participant remained
awake. On the day of testing, participants arrived at the laboratory at 8 am for
set-up and alignment in the pupillometer, and rinsed their mouth with water in
preparation for the first salivary collection, prior to the commencement of the
first pupil measurements at 9 am (Figure 4). To maximise pupil diameter (>6.5 mm), control retinal
illumination and minimise the effects of accommodation on pupil diameter, the
participant's right pupil was cyclopleged with 1.0% cyclopentolate.
Subjective accommodation was assessed using an optometer (Hartinger, Rodenstock)
and cyclopentolate was re-instilled as required. Exogenous circadian cues of
activity (minimum), sleep (none), posture (seated upright), caffeine (none),
ambient temperature (23–25°C), caloric intake (aliquots <500
kJ.hr−1) and ambient illumination (10 lux) [50] (link) were
controlled for the entire test duration.
Figure 4 is a flowchart
timeline of the hourly measurements procedures. At the start of each hour, after
alignment in the pupillometer, four pupil light reflex measurements were
recorded (2×488 nm; 2×610 nm). Salivary sample collection for dim
light melatonin onset (DLMO) was then completed according to standard protocols
[51] (link).
In between measurements, participants remained in an upright-seated position
with limited physical activity as monitored by the actigraph. The constant
laboratory illumination (10 lux) and repeated hourly delivery of an equivalent
stimulus energy for the pupil light reflex measurements allowed us to determine
if circadian variation in ipRGC and cone photoreceptor activity was independent
of environmental light.
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Publication 2011
Actigraphy Caffeine Cyclopentolate Light Lighting Melatonin Obstetric Delivery Ocular Accommodation Pupil Pupillary Reflex Retinal Cone Sleep Specimen Collection
All stimuli were presented on a Tobii 1750 binocular eye tracker monitor. This eye tracking system consists of a high-resolution camera embedded in a 17-inch monitor (1280 × 1024 pixels resolution, 50 Hz sampling rate, average precision of 0.5 degrees of visual angle). There are several benefits of the Tobii 1750 system that make it conducive to testing individuals with developmental disorders, including approximately 20 centimeters of tolerance to head-motion in any direction without requiring any head restraints. Stimuli consisted of sixty colored photographs of adult human faces (equal numbers of males and females, different races and ethnicities) from the NimStim Face Stimulus Set (Tottenham, 2002 ), each showing a calm, happy, or fearful expression, and sixty scrambled versions of the face images. Since it was critical that pupil responses following the onset of the face stimulus be independent of a pupillary light reflex, each face and its scramble were matched on mean luminance, and equivalence was confirmed using a photometer (Minolta, LS-100, Osaka, Japan). Face images subtended a 12.12 degree by 17.19 degree region (the size of an actual human face) when viewed from a distance of 60 cm, and were presented on a standard 50% grey background.
Publication 2009
Adult Developmental Disabilities Ethnicity Face Fear Females Head Homo sapiens Immune Tolerance Light Males Pupil Pupillary Reflex
A Tobii T120 infrared binocular eye tracker (Tobii Technology, Sweden) was used to record X and Y coordinates of eye position and pupil diameter. This video-based system consists of a high-resolution camera embedded in a 17-inch thin-film transistor LCD monitor (1,280 × 1,024 pixels resolution), which promotes more natural user behavior since it does not place restraints on participants such as a helmet, head-mounted sensor, or glasses. The eye tracker samples the position of the eyes at a rate of 120 Hz (one data point approximately every 10 ms, with an average precision of within 0.5° of visual angle).
Stimuli were identical to those used by Farzin et al. (2009 (link)). Images consisted of 60 colored photographs of adult human faces (equal numbers of males and females; different races and ethnicities) from the NimStim Face Stimulus Set (Tottenham et al. 2002 ), each face exhibiting a calm, happy, or fearful expression, and 60 scrambled versions of the face images. To insure that pupillary response to the onset of a face was independent of a pupillary light reflex, each face and corresponding scrambled image were matched on mean luminance, and equivalence was confirmed using a photometer (Minolta, LS-100, Osaka, Japan). Face images subtended a 12.12° by 17.19° region (the size of an actual human face) when viewed from a distance of 60 cm, and were presented on a standard 50% grey background (RGB: 128, 128, 128).
Publication 2011
Adult Ethnicity Eye Eyeglasses Face Fear Females Head Homo sapiens Light Males Pupil Pupillary Reflex

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Publication 2023
Anesthesia Anesthetics Animals Arecaceae ARID1A protein, human Aves Base of Skull Body Weight Fingers Foot Fowls, Domestic Head Heart Auscultation Human Body Joint Dislocations Ketamine Ketaset Light Medetomidine Medical Devices Movement Muscle Tonus Neck Operative Surgical Procedures Pectoralis Muscles Pharmaceutical Preparations Pulse Rate Pupillary Reflex Reflex Sternum Therapeutics Thumb Veterinarian

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Publication 2023
Anesthetic Effect Autopsy Consciousness Joint Dislocations Light Microscopy Movement Neck Pulse Rate Pupillary Reflex Reflex
A secondary analysis was performed on PLR data collected from a prospective cohort of adolescents between ages 12 and 19 years with pupillary light reflex (PLR) assessment conducted between 1 August 2017 and 11 May 2021, recruited from a specialty concussion program and private suburban high school, where some results from this cohort have been previously published [16 (link)]. The prospective observational cohort study was approved by the Children’s Hospital of Philadelphia institutional review board. Adolescents and/or their parents/legal guardians provided written assent/written informed consent. Pupillary light reflex metrics were measured via the same Neuroptics PLR-3000 handheld, infrared, automated, monocular pupillometer model used for the piglet portion of this study [46 (link)]. The pupillometer is approved by the US Food and Drug Administration and has been used in similar studies of mTBI in human adults and adolescents. The diagnosis of SRC was made by trained sports medicine pediatricians on the basis of the most recent Consensus Statement on Concussion in Sports [47 ], and all adolescents with concussion were assessed with pupillometry within 28 days of injury. Overall, PLR data from 167 healthy controls were used to establish a healthy RR for humans. PLR metrics for 177 concussed cases were obtained and compared to the healthy RR.
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Publication 2023
Adolescent Adult Brain Concussion Child Diagnosis Ethics Committees, Research Homo sapiens Injuries Legal Guardians Light Parent Pediatricians Pupillary Reflex
The variables including sex, age, etiology, pupillary light reflex, GCS, absolute amplitude of N1 at electrode Fz (FzN1A), absolute amplitude of MMN at electrode Fz (FzMMNA), EEG background activity, sleep spindles, EEG-R, and PAV, which were generally considered to be associated with the prognosis of comatose patients. These 11 factors were preliminary screened, using the least absolute shrinkage and selection operator (LASSO) analysis. LASSO analysis was conducted with R software (version 4.2.1).
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Publication 2023
Comatose Light Patients Prognosis Pupillary Reflex Sleep
For this secondary analysis a subset of available parameters (features) was selected for the machine learning model based on the literature study and consensus of 3 experts (PW, MS, FD). We also, a priori, decided to exclude parameters with more than 20% missing values (Fig. 1).
The following data were included in the data set:
The dependent variable was TE (yes vs. no). Independent variables used for modelling (N = 28) included:
Patients’ characteristics at baseline: study centre (binarized at 50% of terminal extubation frequency, group1 <  = 50%, group2 > 50%), age, sex, body mass index (BMI), acute physiology and chronic health evaluation II score at admission (APACHE)8 (link), chronic pre-existing medical condition (PreCond, yes/no), cardiac arrest with resuscitation before study inclusion (CPR, yes/no), admission diagnosis (3 most common categories one-hot encoded into dummy features: neurologic disorder (ADM_neuro), respiratory failure (ADM_resp), sepsis (ADM_sepsis); yes/no).
Patients’ characteristics at WLST: Glasgow coma scale (GCS), pupillary reflex (PUP, present vs. absent), cough (present vs. absent), mechanical ventilation mode (MV mode, controlled vs. supported), respiratory rate (RR, bpm), inspiratory fraction of oxygen (FiO2%), positive end expiratory pressure (PEEP, cmH2O), peak inspiratory pressure (PIP, cmH2O), intubation route (route, orotracheal intubation vs. tracheostomy), mean arterial pressure (MAP, mmHg), hear rate (HR, bmp), lactate (mmol L−1), arterial pH, arterial partial pressure of oxygen (PaO2, mmHg), arterial partial pressure of carbon dioxide (PaCO2, mmHg), total ranked circulatory drugs dose (circ_total_ranked), total ranked sedation drugs dose (sedation_total_ranked) and total ranked analgesics drugs dose at WLST (analgetics_total_ranked). Attempted donation after circulatory death was collected (DCD, yes/no).
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Publication 2023
Analgesics Arteries Carbon dioxide Cardiac Arrest Cardiovascular System Cough Diagnosis Disease, Chronic Hearing Index, Body Mass Inhalation Intubation Lactate Mechanical Ventilation Nervous System Disorder Oxygen Partial Pressure Patients Pharmaceutical Preparations Positive End-Expiratory Pressure Pressure Pupillary Reflex Respiratory Failure Respiratory Rate Resuscitation Sedatives Septicemia Tracheal Extubation Tracheostomy Tranquilizing Agents

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The ARK-510A is an automated refractometer designed for eye examinations. It measures the refractive power of the eye and provides data on the corneal curvature. The device is intended for use in ophthalmology and optometry practices.
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More about "Pupillary Reflex"

Pupillary Light Reflex, Pupillary Response, Pupil Constriction, Pupil Dilation, Autonomic Nervous System, Visual System, Retinal Damage, Photoreceptors, Ocular Conditions, Neurological Disorders, Mydrin-P, SL-15, Cyclopentolate, Alcaine, IOLMaster 500, ARK-510A, IOL Master, Tropicamide, RK-F1, Direct Ophthalmoscope.
The pupillary reflex, also known as the light reflex, is a physiological response of the pupil to changes in light intensity.
This involuntary reaction is controlled by the autonomic nervous system and serves to regulate the amount of light entering the eye, protecting the retina from damage.
The pupil constricts (becomes smaller) in bright light and dilates (becomes larger) in dim light, allowing the appropriate amount of light to reach the photoreceptors.
Studying the pupillary reflex can provide insights into the function of the visual system and the underlying neurological processes.
Researchers utilize this phenomenon to investigate a variety of ocular and neurological conditions, making it an important tool in clinical and experimental settings.
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