1. Retinal ganglion cell neurons (first-order)
    • Impulses from the retina travel in the afferent optic nerve (CN II) to the optic chiasm
    • At the optic chiasm
      • Fibers from the temporal half of the retina → ipsilateral optic tract → ipsilateral pretectal nucleus in the midbrain
      • Fibers from the nasal half of the retina crossover → contralateral optic tract → contralateral pretectal nucleus
  2. Fibers from each pretectal nucleus innervate both the ipsilateral and contralateral Edinger-Westphal nuclei.
  3. efferent limb arises from Edinger-Westphal nucleus → oculomotor nerve (CN III) → ciliary ganglion. See Horner syndrome if ciliary ganglion is damaged.
  4. ciliary ganglion → short ciliary nerves → iris sphincter muscle → direct and consensual pupillary constriction

Mnemonic

2 priests educated 3 cili (silly) pupils:

  • Optic nerve (cranial nerve 2)
  • Pretectal nucleus
  • Edinger-Westphal nuclei
  • Oculomotor nerve (cranial nerve 3)
  • Ciliary sphincter → pupillary constriction Pasted image 20231230150954.png