Corneal reflex
The corneal reflex, also known as the blink reflex or eyelid reflex, is an involuntary blinking of the eyelids elicited by stimulation of the cornea, though it 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:
- the nasociliary branch of the ophthalmic branch of the trigeminal nerve sensing the stimulus on the cornea only.
- the temporal and zygomatic branches of the facial nerve initiating the motor response.
- the center is located in the pons of the brainstem.
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.