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What is the effect of the sympathetic nervous system on the lens?

Published in Neuro-Ophthalmology 2 mins read

The sympathetic nervous system has a minimal direct effect on the lens itself. Its primary impact on vision is through its influence on the pupil.

While the provided reference focuses on pupil dilation as the main effect of sympathetic stimulation, it's important to elaborate on the lens's role and how it's indirectly affected.

  • Direct Effect on Lens Unlikely: The primary control of the lens for accommodation (focusing) comes from the parasympathetic nervous system, specifically through the ciliary muscle. There's little evidence to suggest a significant direct sympathetic innervation of the ciliary muscle to directly alter lens shape.

  • Indirect Effects via Pupil Dilation: While the sympathetic nervous system doesn't directly control the lens's shape, its influence on pupil dilation can affect the perception of image sharpness.

    • Increased Depth of Field: When the pupil dilates (due to sympathetic activation, as in a "fight or flight" response), more light enters the eye, potentially increasing the depth of field. This means a wider range of distances may appear relatively in focus. However, this is not a direct change in the shape or focusing power of the lens.
    • Aberrations: Pupil dilation can also increase the impact of optical aberrations (imperfections in the eye's optical system), potentially decreasing image quality. The lens isn't changing shape, but the quality of the image being focused is affected.
  • Accommodation: The lens's ability to change shape to focus on objects at varying distances, known as accommodation, is primarily controlled by the parasympathetic nervous system acting on the ciliary muscle. Sympathetic nervous system activation doesn't typically contribute to accommodation.

In summary, the sympathetic nervous system's influence on vision is primarily through pupil dilation rather than directly affecting the lens's shape or focusing ability. Pupil dilation can indirectly impact image quality and depth of field.

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