Corneal reflex


The corneal reflex, also known as the blink reflex, is an involuntary blinking of the eyelids elicited by stimulation of the cornea, though could result from any peripheral stimulus. Stimulation should elicit both a direct and consensual response. The reflex occurs at a rapid rate of 0.1 seconds. The purpose of this reflex is to protect the eyes from foreign bodies and bright lights. The blink reflex also occurs when sounds greater than 40–60 dB are made.
The reflex is mediated by:
Use of contact lenses may diminish or abolish the testing of this reflex.
The optical reflex, on the other hand, is slower and is mediated by the visual cortex, which resides in the occipital lobe of the brain. The reflex is absent in infants under nine months.
The examination of the corneal reflex is a part of some neurological exams, particularly when evaluating coma, such as FOUR score. Damage to the ophthalmic branch of the trigeminal nerve results in absent corneal reflex when the affected eye is stimulated. Stimulation of one cornea normally has a consensual response, with both eyelids normally closing.

Rates

When awake, the lids spread the tear secretions over the corneal surface, on a typical basis of 2 to 10 seconds. However, blinking is not only dependent on dryness and/or irritation. A brain area, the globus pallidus of the basal ganglia, contains a blinking center that controls blinking. Nonetheless, the external stimuli are still involved. Blinking is linked with the extraocular muscles. Blinking is often concurrent with a shift in gaze, and it is believed that this helps the movement of the eye.