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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Related Experiment Video

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Author Spotlight: Establishing a Practical and Cost-Effective Protocol for Corneal Sensitivity Testing in Clinical Settings
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Pupil response to noxious corneal stimulation.

Emmanuel B Alabi1, Trefford L Simpson1

  • 1University of Waterloo, School of Optometry and Vision Science, Waterloo, ON, Canada.

Plos One
|January 18, 2020
PubMed
Summary

Ocular somatosensory-autonomic reflexes were studied by applying painful stimuli to the cornea. Pupil dilation increased with stimulus intensity, and females showed greater responses than males at higher intensities.

Area of Science:

  • Ophthalmology
  • Neuroscience
  • Autonomic Nervous System Research

Background:

  • Ocular somatosensory-autonomic reflexes are crucial for maintaining eye homeostasis.
  • Understanding these reflexes is key to diagnosing and managing ocular conditions.

Purpose of the Study:

  • To investigate pupil responses to nociceptive (painful) corneal stimuli.
  • To characterize the relationship between stimulus intensity and pupil dilation.

Main Methods:

  • Mechanical and chemical stimuli were applied to the central cornea of healthy subjects.
  • Pupil diameter was measured using digital cameras and ImageJ software.
  • Statistical analyses included dependent t-tests and repeated measures ANOVA.

Main Results:

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  • Pupil diameter increased significantly with increasing corneal stimulus intensity.
  • No significant difference in pupil response was observed between stimulated and unstimulated eyes.
  • Females exhibited greater pupil dilation than males at higher stimulus intensities.

Conclusions:

  • Pupil response is a reliable indicator of nociceptive stimulus intensity in the cornea.
  • This research provides a basis for understanding local neural circuitry of ocular pain and autonomic responses.
  • Pupil measurements, alongside redness and tearing, offer accurate, separable indicators of painful stimulus intensity.