
Pupillary response is a
physiological
Physiology (; ) is the scientific study of functions and mechanisms in a living system. As a sub-discipline of biology, physiology focuses on how organisms, organ systems, individual organs, cells, and biomolecules carry out the chemica ...
response that varies the
size of the pupil
The pupil is a black hole located in the center of the iris of the eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing Company. It appears black ...
, via the
optic and
oculomotor cranial nerve.
A constriction response (
), is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as
opiates/
opioids
Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically they are primarily used for pain relief, including anesthesia. Other medical uses include suppression of diarrhea, replacement therapy for opioid us ...
or anti-hypertension medications. Constriction of the pupil occurs when the
circular muscle, controlled by the
parasympathetic nervous system
The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part ...
(PSNS), contracts, and also to an extent when the
radial muscle relaxes.
A dilation response (
mydriasis), is the widening of the pupil and may be caused by
adrenaline;
anticholinergic
Anticholinergics (anticholinergic agents) are substances that block the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system.
These agents inhibit the parasympathetic nervous syste ...
agents;
stimulant
Stimulants (also often referred to as psychostimulants or colloquially as uppers) is an overarching term that covers many drugs including those that increase activity of the central nervous system and the body, drugs that are pleasurable and inv ...
drugs such as
MDMA
3,4-Methylenedioxymethamphetamine (MDMA), commonly seen in tablet form (ecstasy) and crystal form (molly or mandy), is a potent empathogen–entactogen with stimulant properties primarily used for recreational purposes. The desired ...
,
cocaine, and
amphetamines
Substituted amphetamines are a class of compounds based upon the amphetamine structure; it includes all derivative compounds which are formed by replacing, or substituting, one or more hydrogen atoms in the amphetamine core structure with su ...
; and some
hallucinogenics (e.g.
LSD). Dilation of the pupil occurs when the smooth cells of the
radial muscle, controlled by the sympathetic nervous system (SNS), contract, and also when the cells of the iris sphincter muscle relax.
The responses can have a variety of causes, from an
involuntary reflex reaction to exposure or inexposure to light—in low light conditions a dilated pupil lets more light into the eye—or it may indicate interest in the subject of attention or
arousal,
sexual stimulation
Sexual stimulation is any stimulus (including bodily contact) that leads to, enhances and maintains sexual arousal, and may lead to orgasm. Although sexual arousal may arise without physical stimulation, achieving orgasm usually requires physic ...
,
uncertainty
Uncertainty refers to Epistemology, epistemic situations involving imperfect or unknown information. It applies to predictions of future events, to physical measurements that are already made, or to the unknown. Uncertainty arises in partially ...
, decision conflict,
errors or increasing
cognitive load or demand. The responses correlate strongly with activity in the
locus coeruleus
The locus coeruleus () (LC), also spelled locus caeruleus or locus ceruleus, is a nucleus in the pons of the brainstem involved with physiological responses to stress and panic. It is a part of the reticular activating system.
The locus coer ...
neurotransmitter
A neurotransmitter is a signaling molecule secreted by a neuron to affect another cell across a synapse. The cell receiving the signal, any main body part or target cell, may be another neuron, but could also be a gland or muscle cell.
Neur ...
system. The pupils contract immediately before
REM sleep begins. A pupillary response can be intentionally
conditioned as a Pavlovian response to some stimuli.
The ''latency'' of pupillary response (the time in which it takes to occur) increases with age.
In
ophthalmology
Ophthalmology ( ) is a surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders.
An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Following a med ...
, intensive studies of pupillary response are conducted via videopupillometry.
Anisocoria is the condition of one pupil being more dilated than the other.
See also
*
Cycloplegia
*
Dilated fundus examination
*
Iris sphincter muscle
*
Pupillary light reflex
The pupillary light reflex (PLR) or photopupillary reflex is a reflex that controls the diameter of the pupil, in response to the intensity ( luminance) of light that falls on the retinal ganglion cells of the retina in the back of the eye, the ...
*
Pupillary reflex Pupillary reflex refers to one of the reflexes associated with pupillary function.
These include the pupillary light reflex and accommodation reflex. Although the pupillary response, in which the pupil dilates or constricts due to light is not ...
*
Pupillometry
*
Pupilometer Pupilometer, also spelled pupillometer, is a name for two different devices—one used to measure the pupillary light reflex, and the other used in ophthalmology, which measures the distance between pupils through visual stimuli.
Automated Pupillo ...
References
{{Nonverbal communication
Sexual arousal
Pupil