- 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
- Fibers from each pretectal nucleus innervate both the ipsilateral and contralateral Edinger-Westphal nuclei.
- efferent limb arises from Edinger-Westphal nucleus → oculomotor nerve (CN III) → ciliary ganglion. See Horner syndrome if ciliary ganglion is damaged.
- 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