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Since most gaze shifts are to targets that lie at a different distance from the viewer than the current target, gaze changes commonly require a change in the angle between the eyes. As part of this response, lens curvature must also be adjusted with respect to target distance by the ciliary muscle. It has been suggested that projections by the cerebellar fastigial and posterior interposed nuclei to the supraoculomotor area (SOA), which lies immediately dorsal to the oculomotor nucleus and contains near response neurons, support this behavior. However, the SOA also contains motoneurons that supply multiply innervated muscle fibers (MIFs) and the dendrites of levator palpebrae superioris motoneurons. To better determine the targets of the fastigial nucleus in the SOA, we placed an anterograde tracer into this cerebellar nucleus in Macaca fascicularis monkeys and a retrograde tracer into their contralateral medial rectus, superior rectus, and levator palpebrae muscles. We only observed close associations between anterogradely labeled boutons and the dendrites of medial rectus MIF and levator palpebrae motoneurons. However, relatively few of these associations were present, suggesting these are not the main cerebellar targets. In contrast, labeled boutons in SOA, and in the adjacent central mesencephalic reticular formation (cMRF), densely innervated a subpopulation of neurons. Based on their location, these cells may represent premotor near response neurons that supply medial rectus and preganglionic Edinger-Westphal motoneurons. We also identified lens accommodation-related cerebellar afferent neurons via retrograde trans-synaptic transport of the N2c rabies virus from the ciliary muscle. They were found bilaterally in the fastigial and posterior interposed nuclei, in a distribution which mirrored that of neurons retrogradely labeled from the SOA and cMRF. Our results suggest these cerebellar neurons coordinate elements of the near response during symmetric vergence and disjunctive saccades by targeting cMRF and SOA premotor neurons.
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http://dx.doi.org/10.1017/S0952523821000067 | DOI Listing |
Surg Radiol Anat
September 2025
Department of Anatomy, Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Purpose: This study aims to evaluate the morphological features of the levator palpebrae superioris muscle (LPS) and the variations in the distribution of the oculomotor nerve in the muscle.
Methods: 100 bilateral orbits from 50 cadavers were included in our study. In our study, the medial, lateral, and middle length, width, and thickness of the LPS were measured from 3 different points and recorded.
Strabismus
September 2025
Department of Ophthalmology, Barcelona Hospital, Barcelona University, Barcelona, Spain.
: We report a case of an unusual association between Duane retraction syndrome and Marcus Gunn jaw-winking syndrome in the eye of a patient without other anomalies.: Clinical case. A four-year-old boy presented mild blepharoptosis of the left upper eyelid.
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
Department of Plastic and Cosmetic Surgery, The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Objective: The aim of this study was to observe and analyze the histologic characteristics and changes of the upper eyelid regarding blepharoptosis induced by wearing contact lens.
Methods: The levator aponeurosis-Müller's muscle complex specimens from 12 people who wear contact lenses were stained with hematoxylin-eosinand, Masson trichrome and antismooth muscle actin antibodies, and then were observed under light microscopy. The upper eyelids from 6 cadaver specimens were used as controls, and were examined with the same histologic techniques.
BMJ Case Rep
August 2025
KK Research Centre, KK Women's and Children's Hospital, Singapore
This report presents a case of blepharophimosis-ptosis-epicanthus inversus syndrome (BPES) identified in a term neonate. This patient presented with the four typical ophthalmic signs: short horizontal palpebral fissures (blepharophimosis), impaired levator palpebrae superioris muscle function leading to drooping of upper eyelids (ptosis), skin folding on the medial lower eyelid ascending to the upper eyelid (epicanthus inversus) and increased medial intercanthal distance (telecanthus). On genetic analysis, a polyalanine (polyAla) tract expansion in the gene was identified.
View Article and Find Full Text PDFOphthalmic Plast Reconstr Surg
August 2025
Department of Ophthalmology, Faculty of Medicine, Fayoum University, Al Fayoum, Egypt.
Purpose: To describe the gross morphology of the levator palpebrae superioris (LPS) muscle complex in severe congenital ptosis with poor levator function (LF) and to evaluate the surgical outcomes when levator surgery was performed based on intraoperative factors.
Methods: This is a retrospective, interventional case series that includes children having simple severe congenital ptosis with LF ≤ 4 mm for whom levator muscle surgery was performed rather than preplanned frontalis suspension based on the intraoperative LPS muscle evaluation. The collected data included: demographics; ptosis measurements, including margin reflex distance 1 and LF; morphological appearance of LPS muscle and its aponeurosis (levator aponeurosis); surgical technique, and outcomes.